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Jordan Wilt

NPI 1316798556 · on the registry since 2024

Practice

Address
11132 Madison Pike
Independence, KY 41051
Phone
(859) 960-0100

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-27
Status
Not present in the most recent federal file

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