# T. PAUL WILDER, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336328723
- **Authorized official:** MRS. PAMELA KAY STONE (OFFICE ASSISTANT)
- **Authorized official phone:** (270) 827-8662

## Contact information

- **Practice address:** 319 8TH ST, STE 4, HENDERSON, KY 42420-2963
- **Practice address phone:** (270) 827-8662
- **Practice address fax:** (270) 826-8220
- **Mailing address:** 319 8TH ST, STE 4, HENDERSON, KY 42420-2963
- **Mailing address phone:** (270) 827-8662
- **Mailing address fax:** (270) 826-8220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 15950 | KY | Yes |

## Other

- **Enumeration date:** 11/01/2007
- **Last updated:** 06/15/2009