Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 248810 | MA |
Y | 207L00000X | Anesthesiologist | 47124 | KY |
NPI | 1013104934 |
---|---|
Provider Name | Dr. Jeniffer Ann Ronan |
First Address | Danville, KY 40422-1871 |
Second Address | Danville, KY 40422-1871 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2007 |
Last Update Date | 07/02/2017 |