Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 26521 | KY |
NPI | 1124080676 |
---|---|
Provider Name | Dale Preston Figge |
First Address | Paducah, KY 42001 |
Second Address | Paducah, KY 42003-3803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64265218 | (05) | KY |
C01130 | (02) |