Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 01039879A | IN |
Y | 207L00000X | Anesthesiologist | 24500 | KY |
N | 207L00000X | Anesthesiologist | 50441-020 | WI |
N | 207RA0401X | Internist - Addiction Medicine | 24500 | KY |
NPI | 1497958771 |
---|---|
Provider Name | Teresa D Parrott |
First Address | Stanton, KY 40380-3014 |
Second Address | Stanton, KY 40380-3014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 21/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
50441-020 | WISCONSIN MD LICENSE (01) | WI |
64245004 | (05) | IN |
C63920 | (02) | KY |