Individual
PEGGY MCDANNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 ALEXANDRIA PIKE, SUITE 300, SOUTHGATE, KY 41071-3290
(859) 781-2210
(859) 781-0289
Mailing address
525 ALEXANDRIA PIKE, STE 300, SOUTHGATE, KY 41071-3290
(859) 781-2210
(859) 781-0289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27527
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0599115
—
OH
01
—
110206742
RAILROAD MEDICARE
KY
05
—
64275274
—
KY
Enumeration date
06/14/2006
Last updated
04/06/2017
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