Pain And Wellness Institute Of Kentucky Llc
Interventional Pain Medicine
10302 Brookridge Village Blvd Ste 103-104, Louisville
Kentucky, 40291-4475
502-576-5300 502-576-5376
Pain And Wellness Institute Of Kentucky Llc is a Interventional Pain Medicine in Louisville, Kentucky. It is located at 10302 Brookridge Village Blvd Ste 103-104, Louisville and it's customer support contact number is 502-576-5300. The authorized person of Pain And Wellness Institute Of Kentucky Llc is Kristal Wilson, MD who is Owner of this DME and his contact number is 502-876-6474. Pain And Wellness Institute Of Kentucky Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Pain And Wellness Institute Of Kentucky Llc is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
DME Supplier Details:
Pain And Wellness Institute Of Kentucky Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Pain And Wellness Institute Of Kentucky Llc |
| Type: | Interventional Pain Medicine |
| Location: | 10302 Brookridge Village Blvd Ste 103-104, Louisville,
Kentucky, 40291-4475 |
| Phone: | 502-576-5300 |
| Fax: | 502-576-5376 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Kristal Wilson |
| Credentials: | MD |
| Position: | Owner |
| Contact Number: | 502-876-6474 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1336878909 |
| NPI Enumeration Date: | 08 Jun, 2022 |
| NPI Last Update On: | 19 Mar, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pain And Wellness Institute Of Kentucky Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Interventional Pain Medicine | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Nurse Practitioner | | | Secondary | |
Medicare Enrollment:
Pain And Wellness Institute Of Kentucky Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4880050418 | O20230523003227 | Pain And Wellness Institute Of Kentucky Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 4880050418 | O20231011001049 | Pain And Wellness Institute Of Kentucky Llc | DME SUPPLIER - PHYSICIAN - GENERAL PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10302 Brookridge Village Blvd Ste 103-104,
Louisville, Kentucky |
| Zip: | 40291-4475 |
| Phone Number: | 502-576-5300 |
| Fax Number: | 502-576-5376 |
Patients can reach Pain And Wellness Institute Of Kentucky Llc at
10302 Brookridge Village Blvd Ste 103-104, Louisville, Kentucky or can
call on customer care at 502-576-5300.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.