Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 24126 | KY |
NPI | 1174521157 |
---|---|
Provider Name | Dr. Sylvia L Beimfohr |
First Address | Louisville, KY 40207-4707 |
Second Address | Louisville, KY 40207-4707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64241268 | (05) | KY |
C75412 | (02) |