Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 39427 | KY |
N | 2080A0000X | Adolescent Medicine | 39427 | KY |
NPI | 1053308296 |
---|---|
Provider Name | Dr. Nicholas M Hinkebein |
First Address | Louisville, KY 40223-2907 |
Second Address | Louisville, KY 40223-2907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2005 |
Last Update Date | 13/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64109564 | (05) | KY |