| Wild Health Uri Clinic, Llc | |
|
881 Corporate Dr Lexington KY 40503-2748 | |
| (859) 757-1949 | |
| Not Available |
| Full Name | Wild Health Uri Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 881 Corporate Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Phillip Andrew Williford (CHIEF MEDICAL ADMINISTRATIVE OFFICE) |
| Authorized Official Contact | 8594390400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Health Uri Clinic, Llc 535 Wellington Way Ste 330 Lexington KY 40503-1331 Ph: (859) 439-0400 | Wild Health Uri Clinic, Llc 881 Corporate Dr Lexington KY 40503-2748 Ph: (859) 757-1949 |
| NPI Number | 1215532759 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 12/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215532759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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