# ALLERGY ASTHMA AND IMMUNOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568646420
- **Authorized official:** ELENI LIVAS (MANAGER)
- **Authorized official phone:** (859) 277-3114

## Contact information

- **Practice address:** 40 MAIN STREET, CAMPTON, KY 41301-9750
- **Practice address phone:** (859) 277-3114
- **Mailing address:** 1019 MAJESTIC DR STE 210, LEXINGTON, KY 40513-1947
- **Mailing address phone:** (859) 277-3114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | KY | Yes |

## Other

- **Enumeration date:** 12/27/2007
- **Last updated:** 12/27/2007