Individual
JORDAN WILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11132 MADISON PIKE, INDEPENDENCE, KY 41051-7523
(859) 960-0100
Mailing address
313 CROSS ST, ELSMERE, KY 41018-2106
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1863
KY
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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