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Organization
ALLERGY & ASTHMA ASSOCIATES, P. S. C
Active
Organization
ALLERGY & ASTHMA ASSOCIATES, P. S. C
Active
Other names
Allergy & Asthma Associates of the Bluegrass
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH L GERSON M. D. (PRESIDENT)
(859) 277-9112
Entity
Organization
Contact information
Practice address
171 N EAGLE CREEK DR STE 106, LEXINGTON, KY 40509-1801
(859) 277-9112
(859) 277-7105
Mailing address
171 N EAGLE CREEK DR STE 106, LEXINGTON, KY 40509-1801
(859) 277-9112
(859) 277-7105
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
174400000X
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045610
ANTHEM BCBS
KY
01
—
000000045611
ANTHEM BCBS
KY
05
—
65920720
—
KY
Enumeration date
08/31/2006
Last updated
08/22/2020
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