Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 33518 | KY |
N | 111NI0900X | Internist | 33518 | KY |
Y | 207RH0002X | Hospice and Palliative Medicine | 33518 | KY |
NPI | 1396776001 |
---|---|
Provider Name | Cecil Peppiatt |
First Address | Lexington, KY 40536-0001 |
Second Address | Lexington, KY 40536-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 04/04/2016 |