Organization
WILD HEALTH AT PROOF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DAWSON MD (CEO)
(859) 309-4839
Entity
Organization
Contact information
Practice address
230 W MAIN ST, LEXINGTON, KY 40507-1340
(859) 309-4839
Mailing address
230 W MAIN ST, LEXINGTON, KY 40507-1340
(859) 309-4839
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/11/2019
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