Organization
PAIN AND WELLNESS INSTITUTE OF KENTUCKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTAL WILSON MD (OWNER)
(502) 876-6474
Entity
Organization
Contact information
Practice address
10302 BROOKRIDGE VILLAGE BLVD STE 103-104, LOUISVILLE, KY 40291-4475
(502) 576-5300
(502) 576-5376
Mailing address
10302 BROOKRIDGE VILLAGE BLVD STE 103-104, LOUISVILLE, KY 40291-4475
(502) 576-5300
(502) 576-5376
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/08/2022
Last updated
03/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us