# INTEGRITAS OF KENTUCKY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598807356
- **Authorized official:** PAUL WALCZAK (MANAGING MEMBER)
- **Authorized official phone:** (561) 626-3300

## Contact information

- **Practice address:** 260 S MAYO TRL, PIKEVILLE, KY 41501-1520
- **Practice address phone:** (606) 437-7327
- **Mailing address:** 2979 PGA BLVD, PALM BEACH GARDENS, FL 33410-2911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 78903523 | — | KY |