Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 42970 | KY |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 42970 | KY |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 432313 | PA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 42970 | KY |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 432313 | PA |
NPI | 1619161809 |
---|---|
Provider Name | Dr. Wendy Ann Latunik |
First Address | Lexington, KY 40504-3229 |
Second Address | Hazard, KY 41701-5902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2007 |
Last Update Date | 09/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100137930 | (05) | KY |