THE WELL WAGON, LLC is an adult medicine family medicine in Louisville, KY. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. THE WELL WAGON, LLC NPI is 1598363509. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
2124 DOGOON DR
LOUISVILLE, KY
ZIP 40223-147
Phone: (812) 430-2633
The provider's authorized official is Kimberly M Spahn .
The authorized official title is Ceo, Owner and has the following contact phone number (812) 430-2633.
The enumeration date for this NPI number is 10/12/2020 and was last updated on 10/12/2020.