Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 03951 | KY |
NPI | 1043368491 |
---|---|
Provider Name | Dr. Joshua J Chalkley |
First Address | Lexington, KY 40536-0284 |
Second Address | Lexington, KY 40536-0284 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 23/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30615058 | (05) | KY |