Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 41395 | KY |
N | 207YP0228X | Pediatric Otolaryngology | 41395 | KY |
NPI | 1144305285 |
---|---|
Provider Name | Dr. Michelle Aust Veazey |
First Address | Fort Thomas, KY 41075-1765 |
Second Address | Edgewood, KY 41017-5401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 01/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000542889 | ANTHEM (01) | |
001874782 | (05) | PA |
F59679 | (02) |