Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 1131 | KY |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 43586 | KY |
NPI | 1417084351 |
---|---|
Provider Name | Wes A Allison |
First Address | Louisville, KY 40295-0116 |
Second Address | Louisville, KY 40217-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 02/06/2014 |