Vanessa States Valid NPI
Individual provider · Anatomic Pathology & Clinical Pathology Physician · Louisville, KY
- NPI
- 1730615394
- Type
- Individual (Type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician (Pathology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207ZP0102X
- License number
- 59024 (KY)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2017-05-02
- Last updated
- 2024-06-05
Practice location
4000 Kresge Way
Louisville, KY 40207-4605
(502) 897-8230