Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 27209 | KY |
NPI | 1174704829 |
---|---|
Provider Name | Dr. George R Valentini |
First Address | Hopkinsville, KY 42241-4025 |
Second Address | Hopkinsville, KY 42240-1981 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2007 |
Last Update Date | 14/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64272099 | (05) | KY |
C10608 | (02) | KY |