Unknown Individual – Allergy & Immunology Physician, NPI 1790786804
Allergy & Immunology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
166, Pasadena Drive, Deerfield, Lexington, Fayette County, Kentucky, 40503, United States
STE 150
LEXINGTON, KY 405032973
Phone: (859) 276-1452
Fax: (859) 277-1237
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40503)
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