Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0001X | Dental Public Health | 8773 | KY |
N | 1223G0001X | General Practice | 12011379A | IN |
N | 213EG0000X | General Practice | 12011379A | IN |
Y | 1223G0001X | General Practice | 8773 | KY |
Y | 213EG0000X | General Practice | 8773 | KY |
NPI | 1487888228 |
---|---|
Provider Name | Dr. Aaron Edward Mclemore |
First Address | Louisville, KY 40205-2006 |
Second Address | Louisville, KY 40216-3817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2009 |
Last Update Date | 14/05/2013 |