Bradley Joseph Weitlauf
Home Health Aide in Paducah, KY. Individual provider (NPI-1).
NPI number1053190892
StatusActive
Last updated in NPPESSep 21, 2023
Details
- NPI
- 1053190892
- Entity type
- Individual (NPI-1)
- Name
- Bradley Joseph Weitlauf
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 21, 2023
- Certification date
- Sep 2, 2023
- Last updated
- Sep 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
160 Susan LnPaducah, KY 42003-5526
Phone 865-304-3791
Mailing address
160 Susan LnPaducah, KY 42003-5526
Phone 865-304-3791
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