Most Relevant Information
Provider Data
| NPI Number: | 1003518895 |
| Provider Name: | MARY ZEITLER |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/17/2023 |
| Last Updated: | 03/17/2023 |
Provider Practice Location
530 S JACKSON ST
LOUISVILLE
KY
402021675
Practice Location Phone/Fax
| Phone: | 5025623000 |
| Fax: |
Provider Mailing Location
401 STEEPLECREST CT APT 305
LOUISVILLE
KY
402229125
Provider Mailing Phone/Fax
| Phone: | 7579274660 |
| Fax: |