Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 52899 | KY |
Y | 207YP0228X | Pediatric Otolaryngology | 52899 | KY |
NPI | 1710321963 |
---|---|
Provider Name | Caitlin Fiorillo |
First Address | Lexington, KY 40536-0001 |
Second Address | Lexington, KY 40536-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2013 |
Last Update Date | 08/06/2020 |