Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 55134 | KY |
Y | 111NI0900X | Internist | 55134 | KY |
NPI | 1003311291 |
---|---|
Provider Name | Ashley Marie Twyman |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40215-1161 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2018 |
Last Update Date | 08/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100608810 | (05) | KY |