Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | TP175 | KY |
NPI | 1043454374 |
---|---|
Provider Name | Dr. Blessing Laura Nollah |
First Address | Pikeville, KY 41501-1689 |
Second Address | Pikeville, KY 41501-1689 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2009 |
Last Update Date | 31/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0107843 | (05) | OH |