Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 22279 | KY |
NPI | 1003911546 |
---|---|
Provider Name | Dr. Ernest Edmund Behnke JR. |
First Address | Ashland, KY 41101-3732 |
Second Address | Ashland, KY 41101-3732 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 10/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64222797 | (05) | KY |