Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wild Health at Proof LLC

Organization Family Medicine Physician · NPI 1588129035

Wild Health at Proof LLC provides Family Medicine Physician services in Lexington, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

230 W Main St
Lexington, KY 40507-1340
Phone: (859) 309-4839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1588129035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Dawson — Ceo · (859) 309-4839
NPI enumeratedFebruary 8, 2019
Last updated in NPPESFebruary 11, 2019
Mailing address230 W Main St, Lexington, KY 40507-1340

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