Individual
DR. KIZITO WENANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3430 IMPERATOR LN UNIT 103, LOUISVILLE, KY 40245-7795
(502) 396-6801
Mailing address
3430 IMPERATOR LN UNIT 103, LOUISVILLE, KY 40245-7795
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4010381
KY
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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