Kenneth L Gerson
Pediatric Allergist
171 N Eagle Creek Dr Suite 106
Lexington
, Kentucky 40509-1801
Kenneth L Gerson
Pediatric Allergist
171 N Eagle Creek Dr Suite 106
Lexington
, Kentucky 40509-1801
(859) 227-7105
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About
Features
Specialties
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Kenneth L Gerson
- 171 N Eagle Creek Dr Suite 106
- Lexington, KY
- Zip : 40509-1801
- Fax : (859) 227-7105
- Phone : (859) 277-9112
Second Address
- Kenneth L Gerson
- 171 N Eagle Creek Dr Suite 106
- Lexington, KY
- Zip : 40509-1801
- Fax : (859) 227-7105
- Phone : (859) 277-9112
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0201X | Pediatric Allergist | 14056 | KY |
National Provider Identifier
| NPI | 1366462061 |
|---|---|
| Provider Name | Kenneth L Gerson |
| First Address | Lexington, KY 40509-1801 |
| Second Address | Lexington, KY 40509-1801 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000045611 | BLUE CROSS BLUE SHIELD (01) | KY |
| 64140569 | (05) | KY |
| C65756 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.