| Wings Clinic | |
|
550 S Jackson St 2nd Floor, Acb Louisville KY 40202-1622 | |
| (502) 561-8844 | |
| (502) 561-8843 |
| Full Name | Wings Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 550 S Jackson St, Louisville, Kentucky |
| Authorized Official Name and Position | James O'brien (CHAIRMAN OF DEPARTMENT) |
| Authorized Official Contact | 5025626783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wings Clinic 501 E Broadway Ste 120 Louisville KY 40202-1785 Ph: (502) 562-6810 | Wings Clinic 550 S Jackson St 2nd Floor, Acb Louisville KY 40202-1622 Ph: (502) 561-8844 |
| NPI Number | 1942231626 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 09/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942231626 | NPI | - | NPPES |
| 31000102 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
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