THE WELL WAGON, LLC


Address: 2124 Dogoon Dr, Louisville, KY 40223-1147
Phone: 8124302633

THE WELL WAGON, LLC (NPI# 1598363509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598363509
Entity Type Organization
Organization Name THE WELL WAGON, LLC
Practice Address 2124 Dogoon Dr
Louisville
KY 40223-1147
Practice Telephone 8124302633
Enumeration Date 2020-10-12
Last Update Date 2020-10-12
Authorized Official Name MS. KIMBERLY M SPAHN (CEO, OWNER)
Authorized Official Telephone 8124302633
Authorized Official Credential FNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
The Well of KY, LLC Doing Business As Name - Organization

Office Location

Street Address 2124 DOGOON DR
City LOUISVILLE
State KY
Zip Code 40223-1147

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235605668 Ashlee Brooke Colville Counselor 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 2018-10-24
1831619758 Tracie S Lain Developmental Therapist 13101 Eastpoint Park Blvd., Louisville, KY 40223 2017-06-21
1972051399 Ruby Denise Brooks Counselor 1407 Lafontenay Ct, Louisville, KY 40223 2016-09-14
1427409085 Victoria Krepps Terrell Nurse Practitioner 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 2016-06-24
1033570098 Mackenzie Sipes Chiropractor 401 Creason Ct Unit 205, Louisville, KY 40223 2016-03-17
1699151258 Chelsey Layne Gorham Marriage & Family Therapist 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 2015-08-06
1356764187 Paula Renee Garner Social Worker 1015 Dorsey Lane, Louisville, KY 40223 2014-01-30
1588086508 Lori Bettenhausen Williams Ophthalmology 1413 Evergreen Rd, Anchorage, KY 40223 2014-01-09
1417392259 Lauren Parsons Berry Dentist 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 2013-05-07
1336486653 Lynn M Pendley Dietitian, Registered 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 2013-01-07
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447883491 Kristy Bryant Family Medicine 315 E Broadway Ste 103, Louisville, KY 40202-3700 2020-02-18
1649329624 Earnest F Oblander Family Medicine 1204 Winding Creek Pl, Louisville, KY 40245-5232 2007-01-09
1407895972 Richard Blair Family Medicine 210 E Gray St Ste 700, Louisville, KY 40202 2006-06-06
1497727523 Peter Joseph Urda Family Medicine 1941 Bishop Ln, Suite 205, Louisville, KY 40218-1922 2006-02-02
1043481138 Paranita Sherard Bratton Family Medicine 3015 Wilson Ave, Louisville, KY 40211-1969 2008-03-17
1831397579 Corporate Health Care Psc Family Medicine 8013 New Lagrange Rd, Suite #5, Louisville, KY 40222-4700 2007-07-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396352332 Erin Bryant Aprn Pllc Family Medicine 2407 Ring Rd Ste 133, Elizabethtown, KY 42701-5963 2020-09-24
1053653717 Charles Sinclair Mooney Family Medicine 2700 Bryan Station Rd, Lexington, KY 40516-9002 2013-03-20
1457624777 Sam H. Reid Family Medicine 353 E Lexington Ave, Danville, KY 40422-1521 2012-02-16
1023311800 Tj Health Partners LLC Family Medicine 312 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 2010-12-16
1366607582 Harold Douglass Crall Family Medicine 4000 Morgan Rd, Roederer Correctional Complex, La Grange, KY 40031-0069 2008-07-28
1346440062 Frank Lyons Do, Psc Family Medicine 775 E Tom T Hall Blvd, Olive Hill, KY 41164-7040 2007-07-20
1912033929 Gregory Edward Mick Family Medicine 2285 Executive Dr, Suite 100, Lexington, KY 40505-4810 2007-02-26
1952499691 James Ray Rich Family Medicine 5975 Taylor Mill Road, Covington, KY 41015-2397 2006-10-10
1376567875 Lowell Grey Arnett Jr. Family Medicine 2978 E Mountain Pkwy, Salyersville, KY 41465-9772 2006-07-27
1437190287 Indu Bala Malik Family Medicine 227 Commercial Ave, Fulton, KY 42041-1528 2006-06-10
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Competitor

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City LOUISVILLE
Zip Code 40223

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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