Individual
DR. ANDREA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1720 NICHOLASVILLE RD STE 602, LEXINGTON, KY 40503-1488
(859) 277-4005
(859) 278-2507
Mailing address
1720 NICHOLASVILLE RD STE 602, LEXINGTON, KY 40503-1488
(859) 277-4005
(859) 278-2507
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
34293
SC
207RI0200X
Infectious Disease Physician
Primary
41845
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910453
—
AL
05
—
009911114
—
AL
01
—
051541775
BLUE CROSS
AL
01
—
051541776
BLUE CROSS
AL
Enumeration date
05/03/2007
Last updated
05/09/2015
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