Individual
WILLIAM OFFUTT PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2004 BLAIRMORE RD, LEXINGTON, KY 40502-2435
(859) 230-9578
Mailing address
2004 BLAIRMORE RD, LEXINGTON, KY 40502-2435
(859) 230-9578
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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