Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 49652 | KY |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 49652 | KY |
NPI | 1275785479 |
---|---|
Provider Name | Esther Elise Knapp |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202-3902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2008 |
Last Update Date | 23/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201410250 | (05) | IN |
7100445180 | (05) | KY |