Healthcare Provider Details

I. General information

NPI: 1528320652
Provider Name (Legal Business Name): PETER DAMIAN STOREY AKPUNONU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: PETER DAMIAN AKPUNONU MD

II. Dates (important events)

Enumeration Date: 06/14/2012
Last Update Date: 01/25/2025
Certification Date: 01/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST
LEXINGTON KY
40536-3011
US

IV. Provider business mailing address

800 ROSE ST
LEXINGTON KY
40536
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-5908
  • Fax:
Mailing address:
  • Phone: 859-323-5908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD172014
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number50164
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207PT0002X
TaxonomyMedical Toxicology (Emergency Medicine) Physician
License Number50164
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code207PT0002X
TaxonomyMedical Toxicology (Emergency Medicine) Physician
License NumberMD172014
License Number StateOR
# 5
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number50164
License Number StateKY
# 6
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License NumberMD172014
License Number StateOR
# 7
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number50164
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: