Healthcare Provider Details

I. General information

NPI: 1265713358
Provider Name (Legal Business Name): ANNA DONATA CASTIGLIONE RICHMOND MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2011
Last Update Date: 08/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UK HEALTHCARE 800 ROSE STREET
LEXINGTON KY
40536
US

IV. Provider business mailing address

DEPARTMENT OF PATHOLOGY 800 ROSE STREET MS -117
LEXINGTON KY
40536-0001
US

V. Phone/Fax

Practice location:
  • Phone: 859-257-1446
  • Fax:
Mailing address:
  • Phone: 859-257-1446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License NumberP0709
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number51351
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberP0709
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number51351
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: