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Contact Information

4D WELLNESS
6430 WAID CIR
PADUCAH, KY42001-9698
 Phone: 270-201-8503
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for 4D WELLNESS

NPI # 1811858277
LBN Legal business name 4D WELLNESS
Authorized official AMANDA REYES-GILL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/24/2025
Last updated 11/24/2025 - About 6 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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