Individual
EMORY WILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 ROSE ST # HX315E, LEXINGTON, KY 40536-7001
(859) 323-0693
Mailing address
691 WATER CLIFF DR, SOMERSET, KY 42503-5393
(606) 802-6007
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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