Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 53848 | KY |
Y | 111NI0900X | Internist | 53848 | KY |
N | 207R00000X | Internist | R4137 | KY |
N | 111NI0900X | Internist | R4137 | KY |
NPI | 1003278284 |
---|---|
Provider Name | Dr. Dorothy Mccord Maes |
First Address | Lexington, KY 40536-0293 |
Second Address | Lexington, KY 40536-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2016 |
Last Update Date | 17/03/2021 |