Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 35411 | KY |
NPI | 1235188863 |
---|---|
Provider Name | Dr. Ramsey Kevin Majzoub |
First Address | Louisville, KY 40223-4188 |
Second Address | Louisville, KY 40205-3338 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 24/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64127517 | (05) | KY |
I39561 | (02) | KY |