Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 28141 | KY |
NPI | 1003875378 |
---|---|
Provider Name | Robin L Feese |
First Address | Lexington, KY 40503 |
Second Address | Lexington, KY 40503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64281413 | (05) | KY |