Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | FT545 | KY |
NPI | 1184007320 |
---|---|
Provider Name | Dr. Ayana K Crichlow |
First Address | Louisville, KY 40202 |
Second Address | Louisville, KY 40202-1882 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2015 |
Last Update Date | 07/07/2015 |