Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 48473 | KY |
N | 111NI0900X | Internist | 48473 | KY |
NPI | 1003129917 |
---|---|
Provider Name | Miss Celia E. Castellanos |
First Address | Lexington, KY 40536-0299 |
Second Address | Lexington, KY 40536-0299 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2010 |
Last Update Date | 31/05/2016 |