Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 52485 | KY |
NPI | 1083077002 |
---|---|
Provider Name | Kelsey A Field |
First Address | Louisville, KY 40223-2992 |
Second Address | Lexington, KY 40509-1308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2016 |
Last Update Date | 14/06/2021 |