Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 36422 | KY |
NPI | 1053313221 |
---|---|
Provider Name | Dr. Vera C Van Aalst-Barker |
First Address | Louisville, KY 40207-4644 |
Second Address | Louisville, KY 40207-4644 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 12/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200289910 | (05) | IN |
64079833 | (05) | KY |
I06163 | (02) | KY |