Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 51894 | KY |
NPI | 1316237951 |
---|---|
Provider Name | Dr. Alexandre Paul Ancheta |
First Address | Lexington, KY 40536-0284 |
Second Address | Lexington, KY 40536-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2011 |
Last Update Date | 18/10/2018 |