Individual
MS. YOLANDA PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS, RVT, RDCS
Contact information
Practice address
1926 MEADOWCREEK DR, LOUISVILLE, KY 40218-2451
(502) 314-1050
(502) 459-3234
Mailing address
1926 MEADOWCREEK DR, LOUISVILLE, KY 40218-2451
(502) 314-1050
(502) 459-3234
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
22847
KY
2471S1302X
Sonography Radiologic Technologist
Primary
22847
KY
2471V0105X
Vascular Sonography Radiologic Technologist
22847
KY
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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