Organization
4D WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA REYES-GILL APRN (OWNER)
(270) 201-8503
Entity
Organization
Contact information
Practice address
6430 WAID CIR, PADUCAH, KY 42001-9698
(270) 201-8503
Mailing address
6430 WAID CIR, PADUCAH, KY 42001-9698
(270) 201-8503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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