=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447575485
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PAMELA PAULINE SILVER M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/01/2010
-----------------------------------------------------
Last Update Date | 11/14/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1801 ALEXANDRIA PIKE
-----------------------------------------------------
City | HIGHLAND HEIGHTS
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41076-1159
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-431-5673
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1801 ALEXANDRIA PIKE
-----------------------------------------------------
City | HIGHLAND HEIGHTS
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41076-1159
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-431-5673
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2083B0002X
-----------------------------------------------------
Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
-----------------------------------------------------
License Number | 37182
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------