Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | TP974 | KY |
NPI | 1003233446 |
---|---|
Provider Name | Corey Warf |
First Address | Louisville, KY 40202-1622 |
Second Address | Louisville, KY 40202-1622 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2014 |
Last Update Date | 17/03/2018 |