Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 33496 | KY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 33496 | KY |
NPI | 1164424313 |
---|---|
Provider Name | Dr. Nicholas Thomas Gates |
First Address | Edgewood, KY 41017-3405 |
Second Address | Highland Heights, KY 41076-1530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 08/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G52218 | (02) |