Individual
ANDREA RACHEL WALDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 263-4444
(859) 263-6781
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-5202
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
303067
NY
207N00000X
Dermatology Physician
Primary
58021
KY
207NP0225X
Pediatric Dermatology Physician
58021
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100918860
—
KY
Enumeration date
03/25/2013
Last updated
12/17/2024
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