Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 41273 | KY |
NPI | 1326262270 |
---|---|
Provider Name | Dr. Cynthia D Downard |
First Address | Chicago, IL 60677-6879 |
Second Address | Louisville, KY 40202-1901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 14/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200853510 | (05) | IN |
7100008960 | (05) | KY |