Individual
VIVIAN L WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6400 DUTCHMANS PKWY, SUITE 300, LOUISVILLE, KY 40205-3340
(502) 894-2444
(502) 894-2445
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009067
KY
Other
Enumeration date
01/06/2015
Last updated
10/06/2021
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