The Well Wagon, LLC
NPI #1598363509 in Louisville, Kentucky
Provider Information
- NPI Number
- 1598363509
- Entity Type
- Organization
- Organization Name
- The Well Wagon, LLC
- Primary Specialty
- Family Medicine - Adult Medicine
- Enumeration Date
- Oct 12, 2020
- Last Updated
- Oct 12, 2020
Practice Location
- Address
- 2124 DOGOON DR
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40223-1147
- Phone
- (812) 430-2633
Authorized Official
- Name
- MS. KIMBERLY M SPAHN, FNP-BC
- Title
- CEO, OWNER
- Phone
- (812) 430-2633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Adult Medicine — Adult Medicine |
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