Individual
BANDANA WAIKHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7370 TURFWAY RD, SUITE 300, FLORENCE, KY 41042-4895
(859) 746-1990
(859) 746-3149
Mailing address
2300 CHAMBER CENTER DR, LAKESIDE PARK, KY 41017-1686
(859) 746-1990
(859) 746-3149
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35.084676
OH
207W00000X
Ophthalmology Physician
Primary
48047
KY
207W00000X
Ophthalmology Physician
TP202
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2925937
—
OH
05
—
7100136710
—
KY
Enumeration date
07/28/2008
Last updated
04/26/2017
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