Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 28790 | KY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 28790 | KY |
NPI | 1467454397 |
---|---|
Provider Name | Dr. David E Borden |
First Address | Louisville, KY 40223-5132 |
Second Address | Louisville, KY 40207-4640 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 23/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64287907 | (05) | KY |
G48270 | (02) | KY |