Individual provider · Type 1 NPI

Wyatt George Samuel Southall, MD

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1821939257 Active

Practice location

740 S Limestone, Room K403
Lexington, KY 40536-0284

Call (859) 218-3044 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

370 other providers at this address

Other student in an organized health care education/training program providers in Lexington

See all in Lexington →

About NPI 1821939257

Wyatt George Samuel Southall, MD's National Provider Identifier is 1821939257, issued on Apr 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Apr 1, 2026.