Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 30378 | KY |
NPI | 1043380835 |
---|---|
Provider Name | Dr. Warren Joseph Bilkey JR. |
First Address | Louisville, KY 40217-1239 |
Second Address | Louisville, KY 40217-1239 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D81484 | (02) |