Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 52281 | KY |
NPI | 1023428695 |
---|---|
Provider Name | Casey Yeakel Hay |
First Address | Louisville, KY 40207-4819 |
Second Address | Louisville, KY 40207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2014 |
Last Update Date | 08/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100603000 | (05) | KY |