Organization
WILD HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MILLER PA-C (VP OF CLINICAL OF OPERATIONS)
(859) 439-0400
Entity
Organization
Contact information
Practice address
535 WELLINGTON WAY STE 330, LEXINGTON, KY 40503-1331
(859) 439-0400
(859) 439-0399
Mailing address
535 WELLINGTON WAY STE 330, LEXINGTON, KY 40503-1331
(859) 439-0400
(859) 439-0399
Taxonomy
Speciality
Code
Description
License number
State
261QG0250X
Genetics Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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