| Wild Health At Proof Llc | |
|
230 W Main St Lexington KY 40507-1340 | |
| (859) 309-4839 | |
| Not Available |
| Full Name | Wild Health At Proof Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 230 W Main St, Lexington, Kentucky |
| Authorized Official Name and Position | Matthew Dawson (CEO) |
| Authorized Official Contact | 8593094839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Health At Proof Llc 230 W Main St Lexington KY 40507-1340 Ph: (859) 309-4839 | Wild Health At Proof Llc 230 W Main St Lexington KY 40507-1340 Ph: (859) 309-4839 |
| NPI Number | 1588129035 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 02/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588129035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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