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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
- 11
Registry record
- Primary taxonomy
- 390200000X
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