Organization
NIT WITS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY LEIGH SHARP (OWNER/TECHNICIAN)
(502) 310-9281
Entity
Organization
Contact information
Practice address
9302 NEW LAGRANGE ROAD, UNIT H, LOUISVILLE, KY 40242-6258
(502) 365-9505
Mailing address
9302 NEW LAGRANGE ROAD, UNIT H, LOUISVILLE, KY 40242-6258
(502) 365-9505
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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