Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | TP500 | KY |
NPI | 1598030702 |
---|---|
Provider Name | Dylan Thomas Adamson |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202-5707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2012 |
Last Update Date | 06/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100249920 | (05) | KY |