Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 4036 | KY |
N | 1223P0300X | Periodontist | 8228 | IN |
NPI | 1013931229 |
---|---|
Provider Name | Dr. Gregory J. Albright |
First Address | Louisville, KY 40207-4812 |
Second Address | Louisville, KY 40207-4812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 03/08/2010 |