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1801284328
VIVIAN L WHITEHEAD
LOUISVILLE, KY
NPI
1801284328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 3009067)
Enumeration Date
2015-01-06
Last Update Date
2021-10-06
Business Address
VIVIAN L WHITEHEAD APRN
6400 DUTCHMANS PKWY SUITE 300
LOUISVILLE, KY 40205-3340
Phone number: 502-894-2444
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Mailing Address
VIVIAN L WHITEHEAD APRN
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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