Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 38849 | KY |
N | 111NI0900X | Internist | 38849 | KY |
N | 207RH0002X | Hospice and Palliative Medicine | 38849 | KY |
NPI | 1336150382 |
---|---|
Provider Name | Kristy Sheffel Deep |
First Address | Lexington, KY 40536-0294 |
Second Address | Lexington, KY 40536-0294 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 08/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I40442 | (02) |