Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 04720 | KY |
N | 207X00000X | Orthopaedic Surgeon | H86826 | MD |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 04720 | KY |
NPI | 1295155927 |
---|---|
Provider Name | Dr. Vincent Angelo Depalma |
First Address | London, KY 40743-0936 |
Second Address | London, KY 40741-6601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2014 |
Last Update Date | 14/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H86826 | LICENSE (01) | MD |