Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | 46214 | KY |
N | 208000000X | Pediatrician | 46214 | KY |
Y | 2080P0208X | Pediatric Infectious Diseases | 46214 | KY |
NPI | 1588802946 |
---|---|
Provider Name | Dr. Sean M Mctigue |
First Address | Lexington, KY 40536-0001 |
Second Address | Lexington, KY 40536-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2009 |
Last Update Date | 07/10/2015 |