TYLER ABRAHAM DE WITT

ELIZABETHTOWN, KY
NPI1518490606
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KY  56091)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KY  R4691)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-06
Last Update Date2022-09-20
Business Address
Mr. TYLER ABRAHAM DE WITT MD
120 HELMWOOD PLAZA DR STE 103
ELIZABETHTOWN, KY 42701-3459
Phone number: 270-979-7171
Mailing Address
Mr. TYLER ABRAHAM DE WITT MD
401 E CHESTNUT ST UNIT 600
LOUISVILLE, KY 40202-5705
Phone number: 502-588-4450