Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 01066337 | IN |
N | 207W00000X | Ophthalmologist | R1169 | KY |
NPI | 1033375597 |
---|---|
Provider Name | Dr. Peter John Timoney |
First Address | Lexington, KY 40508 |
Second Address | Lexington, KY 40508-3206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2008 |
Last Update Date | 17/03/2018 |