Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 38139 | KY |
NPI | 1336146158 |
---|---|
Provider Name | Dr. David S Foley |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202-1901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 16/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200432790 | (05) | IN |
64067572 | (05) | KY |
H26716 | (02) | KY |