Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 45810 | KY |
Y | 208600000X | Surgeon | 45810 | KY |
NPI | 1013157338 |
---|---|
Provider Name | Melissa Ranney Newcomb |
First Address | Lexington, KY 40536-0001 |
Second Address | Lexington, KY 40536-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2009 |
Last Update Date | 25/06/2013 |