Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 18501 | KY |
NPI | 1316948698 |
---|---|
Provider Name | Ha Thanh Le |
First Address | Elizabethtown, KY 42701-2520 |
Second Address | Elizabethtown, KY 42701-2520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 27/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000047264 | ANTHEM BCBS (01) | KY |
1050773 | PASSPORT HEALTH PLAN (01) | KY |
110018583 | RAILROAD RETIREMENT (01) | KY |
203585100 | DEPT OF LABOR (01) | KY |
2432966000 | PASSPORT ADVANTAGE (01) | KY |
64185010 | (05) | KY |
AH7159785 | DEA (01) | KY |
D92451 | (02) | KY |