Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 9326 | KY |
NPI | 1043655392 |
---|---|
Provider Name | Emilee Young Sexton |
First Address | Lexington, KY 40509-8568 |
Second Address | Lexington, KY 40503-2980 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2013 |
Last Update Date | 28/03/2018 |