Most Relevant Information
Provider Data
| NPI Number: | 1003498726 |
| Provider Name: | WALTER FITCH PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA2774 |
Most Important Dates
| Enumeration Date: | 04/22/2021 |
| Last Updated: | 06/14/2021 |
Provider Practice Location
401 E CHESTNUT ST UNIT 690
LOUISVILLE
KY
402025706
Practice Location Phone/Fax
| Phone: | 5025884710 |
| Fax: |
Provider Mailing Location
PO BOX 909
LOUISVILLE
KY
402010909
Provider Mailing Phone/Fax
| Phone: | 5025884710 |
| Fax: |