Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | L217524 | MA |
N | 208600000X | Surgeon | L217524 | MA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 2008014395 | MO |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 43584 | KY |
NPI | 1083740757 |
---|---|
Provider Name | Victor Henry Vanberkel |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202-3841 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 06/04/2016 |