Braden, Wesley

Braden, Wesley is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Braden, Wesley can be contacted via phone (859) 301-2160.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017
Phone: (859) 301-2160
Fax: (859) 301-3932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 29355 Kentucky

Profile Details

NPI number 1982686085
LBN Legal business name Braden, Wesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated May 31st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982686085 NPPES
Other 300043267 RRMC
MEDICAID 64293558 RRMC
MEDICAID 0923719 RRMC

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