Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 33190 | KY |
NPI | 1063404481 |
---|---|
Provider Name | Dr. Harold Helton JR. |
First Address | Somerset, KY 42503-3800 |
Second Address | Somerset, KY 42503-3800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 23/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64331903 | (05) | KY |
G98297 | (02) |