Healthcare Provider Details

I. General information

NPI: 1982511077
Provider Name (Legal Business Name): KAREN WITTY DI SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 CORAL HILL RD
GLASGOW KY
42141-9080
US

IV. Provider business mailing address

235 CORAL HILL RD
GLASGOW KY
42141-9080
US

V. Phone/Fax

Practice location:
  • Phone: 270-404-5981
  • Fax:
Mailing address:
  • Phone: 270-404-5981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS KAREN SUE SMITH WITTY
Title or Position: DEVELOPMENTAL INTERVENTIONIST
Credential: MAE/DI/IECE
Phone: 270-404-5981