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

Lindsey Wilson College, Inc

Organization Orthopaedic Surgery Physician · NPI 1063964278

Lindsey Wilson College, Inc is an Orthopaedic Surgery Physician in Columbia, Kentucky. Licensed in Kentucky. Registered with an NPI since 2016.

Licensed in
KY
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

210 Lindsey Wilson St
Columbia, KY 42728-1223
Phone: (972) 367-4845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 40622 (KY)

Record details

NPI number1063964278
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Lindsey Wilson College Sports Medicine
NPI enumeratedNovember 4, 2016
Last updated in NPPESNovember 4, 2016
Mailing address5050 Spring Valley Rd., Dallas, TX 75244-3909