Search › Kentucky › 163WC0200X
Jesse Vandersluis
NPI 1548791536 · on the registry since 2017 · sole proprietor
Practice
- Address
- 155 Rita Way
Elizabethtown, KY 42701 - Phone
- (605) 261-7964
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-03-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky