Individual
WALTER FITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
401 E CHESTNUT ST UNIT 690, LOUISVILLE, KY 40202-5706
(502) 588-4710
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2774
KY
Other
Enumeration date
04/22/2021
Last updated
06/14/2021
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