Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 27924 | KY |
NPI | 1043288350 |
---|---|
Provider Name | Dr. Jeremiah Suhl |
First Address | Lexington, KY 40502-3527 |
Second Address | Lexington, KY 40502-3527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 08/07/2007 |