Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35.096837 | OH |
N | 207V00000X | Obstetrician & Gynecologist | 46875 | KY |
N | 207V00000X | Obstetrician & Gynecologist | LL30007 | SC |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 01085714A | IN |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 46875 | KY |
NPI | 1982894721 |
---|---|
Provider Name | Susan Holden Oakley |
First Address | Cincinnati, OH 45263-5283 |
Second Address | Edgewood, KY 41017-3416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2007 |
Last Update Date | 01/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0106598 | (05) | OH |
7100306630 | (05) | KY |