Individual
CHARLOTTE GAY STITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
760 S HANCOCK ST APT B100, LOUISVILLE, KY 40203-2449
(502) 242-7458
Mailing address
760 S HANCOCK ST APT B100, LOUISVILLE, KY 40203-2449
(502) 242-7458
(502) 219-3673
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34411
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64434111
—
KY
Enumeration date
08/17/2006
Last updated
01/09/2020
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