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Individual

DR. AMY SIEGEL GEWIRTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 ROSE ST # MS 117, LEXINGTON, KY 40536-0298
(859) 323-5425
Mailing address
800 ROSE ST # MS 117, LEXINGTON, KY 40536-0298
(859) 323-5425

Taxonomy

Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
32096
KY
207ZH0000X
Hematology (Pathology) Physician
Primary
32096
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2176989
OH
Enumeration date
06/04/2006
Last updated
06/04/2019
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