| T. Paul Wilder, M.d. | |
|
319 8th St Ste 4 Henderson KY 42420-2963 | |
| (270) 827-8662 | |
| (270) 826-8220 |
| Full Name | T. Paul Wilder, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 319 8th St, Henderson, Kentucky |
| Authorized Official Name and Position | Pamela Kay Stone (OFFICE ASSISTANT) |
| Authorized Official Contact | 2708278662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T. Paul Wilder, M.d. 319 8th St Ste 4 Henderson KY 42420-2963 Ph: (270) 827-8662 | T. Paul Wilder, M.d. 319 8th St Ste 4 Henderson KY 42420-2963 Ph: (270) 827-8662 |
| NPI Number | 1336328723 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 06/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336328723 | NPI | - | NPPES |
| 000000612983 | Other | KY | ANTHEM BLUE SHIELD |
| 64159502 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15950 (Kentucky) | Primary |
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