Vitae Health Clinical Services Kentucky LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VITAE HEALTH CLINICAL SERVICES KENTUCKY LLC

Practice address

1333 W Main St
Princeton, KY 42445-6211

Phone

(270) 365-3541

Fax

(270) 365-5064

NPI assigned

Jun 22, 2023

Last updated

Mar 25, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yitzchak Freund

Title

Chief Operating Officer

Phone

(224) 777-8045

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amish M Patel, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Norridge, IL
  • NPI 1457502619
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1275219602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD STE 26",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053923",
            "telephone_number": "224-777-8045",
            "fax_number": "312-312-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W MAIN ST",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424456211",
            "telephone_number": "270-365-3541",
            "fax_number": "270-365-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAE HEALTH CLINICAL SERVICES KENTUCKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "FREUND",
        "authorized_official_first_name": "YITZCHAK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "224-777-8045"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita M. Talley, M.S., CCC-SLP
• Daniel A Talley, O.D.
• Molly Thomas
• Sara Elisabeth Tittle
• Tania Brett Traylor, ARNP
• W. Lawrence Long, PLLC
• Jessica Dawn Wade
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0204)
• Wal-Mart Stores East, LP (Walmart Vision Center 30-0204)
• Teresa Gail Warren

• Internal Medicine Physician in Princeton, KY
• Providers in Princeton, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.