Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 40855 | KY |
Y | 111NI0900X | Internist | 40855 | KY |
NPI | 1003077496 |
---|---|
Provider Name | Cindy J Code |
First Address | Louisville, KY 40223 |
Second Address | Louisville, KY 40207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2008 |
Last Update Date | 19/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3529187000 | PASSPORT ADVANTAGE (01) | KY |
50019697 | PASSPORT (01) | KY |
7100052040 | (05) | KY |