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Larry Wheeler, CPED
Pedorthist in Lexington, Kentucky
NPI 1104939156

Larry Wheeler is a Pedorthist based in Lexington, KY. Larry Wheeler practices in Lexington, KY and has the professional credentials of CPED. The NPI Number for Larry Wheeler is 1104939156 and holds a License No. 111233 (Kentucky).

The current practice location address for Larry Wheeler is 371 Southland Dr, Lexington, KY and can be reached out via phone at 859-266-0420 and via fax at 859-266-0667.

Location: 371 Southland Dr, Lexington, KY, 40503-1824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104939156
Provider Name
Larry Wheeler
Credential
CPED
Provider Entity Type
Individual
Gender
Male
Address
371 Southland Dr, Lexington, KY, 40503-1824
Phone Number
859-266-0420
Fax Number
859-266-0667
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000519294 01 KY ANTHEM BC/BS
208278527 01 KY HUMANA
5574649 01 KY AETNA
7100026770 05 KY
5939230001 01 KY MEDICARE DME
208278527 01 KY TRICARE
institution
Provider Business Practice Location Address Details
Address
371 Southland Dr
City
Lexington
State
Kentucky
Zip
40503-1824
Phone Number
859-266-0420
Fax Number
859-266-0667
person
Provider Business Mailing Address Details
Address
371 Southland Dr
City
Lexington
State
Kentucky
Zip
40503-1824
Phone Number
859-266-0420
Fax Number
859-266-0667
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
111233 (Kentucky)
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
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