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Individual
LUIS VALLEJO
Active
Individual
LUIS VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
51186
KY
2084P0800X
Psychiatry Physician
Primary
A161174
CA
2084P0800X
Psychiatry Physician
R3879
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084P0800X
—
KY
Enumeration date
07/13/2015
Last updated
09/07/2023
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