Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 34421 | KY |
N | 111NI0900X | Internist | 34421 | KY |
Y | 207RI0200X | Infectious Disease | 34421 | KY |
NPI | 1063524841 |
---|---|
Provider Name | Alice Chaffin Thornton |
First Address | Lexington, KY 40517-4012 |
Second Address | Lexington, KY 40536-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 12/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64344211 | (05) | KY |
H26934 | (02) |