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Organization

INTEGRITAS OF KENTUCKY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL WALCZAK (MANAGING MEMBER)
(561) 626-3300
Entity
Organization

Contact information

Practice address
260 S MAYO TRL, PIKEVILLE, KY 41501-1520
(606) 437-7327
Mailing address
2979 PGA BLVD, PALM BEACH GARDENS, FL 33410-2911

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78903523
KY
Enumeration date
02/12/2007
Last updated
08/22/2020
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