Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 17920 | KY |
Y | 111NI0900X | Internist | 17920 | KY |
N | 207RA0401X | Internist - Addiction Medicine | 17920 | KY |
NPI | 1922219294 |
---|---|
Provider Name | Dr. John E. Pappas |
First Address | Lexington, KY 40504-2928 |
Second Address | Pikeville, KY 41501-3476 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 29/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64179203 | (05) | KY |
XP6626747 | XDEA (01) | KY |