Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | TP488 | KY |
NPI | 1013370014 |
---|---|
Provider Name | Anne Hayes |
First Address | Louisville, KY 40206-0658 |
Second Address | Louisville, KY 40207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2016 |
Last Update Date | 12/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100497000 | (05) | KY |