Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 51242 | KY |
NPI | 1093080277 |
---|---|
Provider Name | Dr. Christopher Haywood Azbell |
First Address | Lexington, KY 40536-0284 |
Second Address | Lexington, KY 40536-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2012 |
Last Update Date | 16/01/2019 |