Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 1063844322 | GA |
N | 222Z00000X | Podiatrist | 1063844322 | GA |
N | 213E00000X | Podiatrist | POD001227 | GA |
N | 222Z00000X | Podiatrist | POD001227 | GA |
Y | 213ES0103X | Foot & Ankle Surgery | 00447 | KY |
N | 213ES0103X | Foot & Ankle Surgery | 1063844322 | GA |
N | 213ES0131X | Foot Surgery | 1063844322 | GA |
NPI | 1063844322 |
---|---|
Provider Name | Dr. Sofie Lavinia Pinney |
First Address | Cynthiana, KY 41031-7498 |
Second Address | Cynthiana, KY 41031-7490 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2013 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100410460 | (05) | KY |