| Smoketown Family Wellness Center | |
|
760 S Hancock St Apt B100 Louisville KY 40203-2449 | |
| (502) 242-7458 | |
| Not Available |
| Full Name | Smoketown Family Wellness Center |
|---|---|
| Speciality | Pediatrics |
| Location | 760 S Hancock St Apt B100, Louisville, Kentucky |
| Authorized Official Name and Position | Charlotte Gay Stites (PHYSICIAN OWNER) |
| Authorized Official Contact | 5022427458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smoketown Family Wellness Center 760 S Hancock St Apt B100 Louisville KY 40203-2449 Ph: (502) 242-7458 | Smoketown Family Wellness Center 760 S Hancock St Apt B100 Louisville KY 40203-2449 Ph: (502) 242-7458 |
| NPI Number | 1184145815 |
|---|---|
| Provider Enumeration Date | 07/03/2017 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184145815 | NPI | - | NPPES |
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