Individual
CASEY FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
793 EASTERN BYP STE 110, RICHMOND, KY 40475-2425
(859) 624-2020
Mailing address
793 EASTERN BYP STE 110, RICHMOND, KY 40475-2425
(859) 624-2020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55553
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Enumeration date
05/10/2018
Last updated
06/14/2021
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