Jeremy Whiteside
NPI #1124710546 in Louisville, Kentucky
Provider Information
- NPI Number
- 1124710546
- Entity Type
- Individual
- Name
- Jeremy Whiteside
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- May 24, 2023
- Last Updated
- May 24, 2023
Practice Location
- Address
- 3934 DIXIE HWY STE 350
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40216-4163
- Phone
- (502) 830-9460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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