Organization
WILLIAM O. WITT, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ORIN WITT M.D. (OWNER/REGISTERED AGENT)
(859) 367-7246
Entity
Organization
Contact information
Practice address
2050 VERSAILLES RD, SUITE 205, LEXINGTON, KY 40504-1405
(859) 367-7246
(859) 254-5715
Mailing address
3649 SOLUTIONS CENTER, CHICAGO, IL 60677-3006
(859) 367-7246
(859) 254-5715
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
19042
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
07/14/2009
Last updated
08/19/2010
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