Individual
KAILYN DEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S PRESTON ST RM 305, LOUISVILLE, KY 40202-1702
(502) 640-1412
Mailing address
530 S JACKSON ST RM C2A03, LOUISVILLE, KY 40202-1675
(502) 852-1732
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2026
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