Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 02908 | KY |
Y | 207QA0401X | Family Doctor - Addiction Medicine | 02908 | KY |
NPI | 1346293198 |
---|---|
Provider Name | Rebecca L Atkins |
First Address | Lexington, KY 40517-3062 |
Second Address | Lexington, KY 40509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 14/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2605676 | (05) | OH |
64109242 | (05) | KY |
I29381 | (02) | KY |