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NPI Code Detail

MEDICARE: DR. PELL ANN WARDROP MD

MEDICARE: DR. PELL ANN WARDROP MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician23120KY
2207YS0012XSleep Medicine (Otolaryngology) Physician23120KY

General Provider Information

NPI Number : 1881689693
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PELL ANN WARDROP MD
Provider Business Mailing Address
First Line : PO BOX 936
Second Line :
City : LONDON
State : KY
Zip : 40743-0936
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 160 N EAGLE CREEK DR STE 302
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-2124
Country : US
Telephone Number : 859-967-5044
Fax Number : 859-967-5041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2005
Last Update Date : 07/17/2019

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Directions to “ DR. PELL ANN WARDROP MD” Practice Location

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