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General NPI Number Information
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NPI Number | 1629071006
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Entity Type | Individual
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Provider Name | CYNTHIA A CORRIGAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 1850 BLUEGRASS AVE PATHOLOGY DEPT
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City | LOUISVILLE
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State | KY
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Zip | 40215-1161
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Country | US
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Telephone | 502-456-6212
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Fax | 502-456-4440
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Provider Business Mailing Address
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Address Line | 1941 BISHOP LN STE 1018
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City | LOUISVILLE
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State | KY
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Zip | 40218-1928
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Country | US
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Telephone | 502-456-6211
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Fax | 502-456-4440
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | 25223
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 25223
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License Number State | KY
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