Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 8585 | KY |
N | 1223G0001X | General Practice | G1-1219 | DE |
N | 213EG0000X | General Practice | G1-1219 | DE |
Y | 1223P0221X | Pediatric Dentist | 859 | KY |
NPI | 1063584936 |
---|---|
Provider Name | Dr. Korie Dunhoft Acord |
First Address | Louisville, KY 40245-5902 |
Second Address | Louisville, KY 40245-5902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 04/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1000040655 | (05) | DE |
7100131700 | (05) | KY |