Individual
JOSHUA ADAM WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503-1431
(859) 260-6348
Mailing address
825 CALYPSO BREEZE DR, LEXINGTON, KY 40515-1431
(606) 627-0159
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013369
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100626750
—
KY
Enumeration date
08/23/2019
Last updated
01/02/2020
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