Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 036103134 | IL |
Y | 207RH0003X | Hematology & Oncology | 44900 | KY |
N | 207RX0202X | Medical Oncology | 44900 | KY |
NPI | 1154434645 |
---|---|
Provider Name | John L. Villano |
First Address | Lexington, KY 40536-0093 |
Second Address | Lexington, KY 40536-0093 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 01/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
44900 | KY MEDICAL LICENSE (01) | KY |
I09592 | (02) |