Individual
MEGAN AMELIA ANCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(866) 759-4524
Mailing address
6807 TOTTENHAM RD, LOUISVILLE, KY 40207-2447
(434) 882-8891
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
PA3710
KY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
TC147
KY
363A00000X
Physician Assistant
Primary
PA3710
KY
Other
Enumeration date
10/15/2025
Last updated
01/29/2026
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