Individual
SEAN WADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 CONN TER STE 550, LEXINGTON, KY 40508-3206
(859) 323-5867
(859) 323-8510
Mailing address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-9290
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10057674
TX
207W00000X
Ophthalmology Physician
53465
KY
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
53465
KY
Other
Enumeration date
05/24/2016
Last updated
05/25/2023
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