Individual
OLIVIA EASTON WILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 HILLTOP AVE, LEXINGTON, KY 40506-0001
(859) 257-9000
Mailing address
691 WATER CLIFF DR, SOMERSET, KY 42503-5393
(606) 872-4266
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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