Healthcare Provider Details

I. General information

NPI: 1750868808
Provider Name (Legal Business Name): GUITNER HYACINTHE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2018
Last Update Date: 07/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6609 GABRIEL DR
LOUISVILLE KY
40258-3323
US

IV. Provider business mailing address

6609 GABRIEL DR
LOUISVILLE KY
40258-3323
US

V. Phone/Fax

Practice location:
  • Phone: 502-294-6660
  • Fax:
Mailing address:
  • Phone: 502-294-6660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: