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1386584076

NPI Code Detail

MEDICARE: SARAH WILSON MD

MEDICARE: SARAH WILSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1386584076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH WILSON MD

Provider Business Mailing Address
First Line	:	245 FOUNTAIN CT STE 215
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2792
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	245 FOUNTAIN CT STE 215
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2792
Country	:	US
Telephone Number	:	859-323-6861
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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Directions to “ SARAH WILSON MD” Practice Location

Language	Start Address	Practice Location

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