Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207ND0900X | Dermatopathologist | 03362 | KY |
NPI | 1083736557 |
---|---|
Provider Name | Harty Elouise Ashby |
First Address | Lexington, KY 40503-2903 |
Second Address | Pikeville, KY 41501-1689 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 13/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100203330 | (05) | KY |