Healthcare Provider Details
I. General information
NPI: 1518394584
Provider Name (Legal Business Name): ALLERGY PARTNERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/04/2013
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
166 PASADENA DR SUITE 150
LEXINGTON KY
40503-2973
US
IV. Provider business mailing address
PO BOX 603725
CHARLOTTE NC
28260-3725
US
V. Phone/Fax
- Phone: 859-276-1452
- Fax: 859-277-1237
- Phone: 828-575-2625
- Fax: 828-350-2174
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207K00000X |
| Taxonomy | Allergy & Immunology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
A
BROWN
Title or Position: PRESIDENT/CEO
Credential: MD
Phone: 828-277-1300