Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | R4266 | KY |
NPI | 1023385333 |
---|---|
Provider Name | Elizabeth Veasey |
First Address | Louisville, KY 40206-1433 |
Second Address | Louisville, KY 40206-1433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2011 |
Last Update Date | 08/06/2020 |