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Organization
ALLERGY ASTHMA AND IMMUNOLOGY
Active
Organization
ALLERGY ASTHMA AND IMMUNOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENI LIVAS (MANAGER)
(859) 277-3114
Entity
Organization
Contact information
Practice address
40 MAIN STREET, CAMPTON, KY 41301-9750
(859) 277-3114
Mailing address
1019 MAJESTIC DR STE 210, LEXINGTON, KY 40513-1947
(859) 277-3114
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
KY
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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