Healthcare Provider Details

I. General information

NPI: 1669505723
Provider Name (Legal Business Name): KATIE LITMER CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 MARY GRUBBS HWY
WALTON KY
41094-7483
US

IV. Provider business mailing address

305 MARY GRUBBS HWY
WALTON KY
41094-7483
US

V. Phone/Fax

Practice location:
  • Phone: 859-485-7733
  • Fax:
Mailing address:
  • Phone: 859-485-7733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: