Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 46098 | KY |
N | 111NI0900X | Internist | 46098 | KY |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 46098 | KY |
N | 207RC0000X | Internist - Cardiovascular Disease | 46098 | KY |
NPI | 1750519369 |
---|---|
Provider Name | Dr. Andrew Richard Kolodziej |
First Address | Lexington, KY 40536-0200 |
Second Address | Lexington, KY 40536-3815 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2009 |
Last Update Date | 22/08/2017 |