SearchKentuckyStudent in an Organized Health Care Education/Training Program

Jake Wagner

NPI 1114667334 · on the registry since 2022

Practice

Address
550 S Jackson St # A3k00
Louisville, KY 40202
Phone
(502) 852-4277
Clinicians at this address
12

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Sex
Male
Record last updated
2022-03-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky