Individual
DAVID JON MOLITERNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
GILL HEART INSTITUTE 800 ROSE ST, G100, LEXINGTON, KY 40536-0093
(859) 323-0295
(859) 257-8699
Mailing address
GILL HEART INSTITUTE 900 SOUTH LIMESTONE, G320, LEXINGTON, KY 40536-0020
(859) 323-3976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38678
KY
207RC0000X
Cardiovascular Disease Physician
Primary
38678
KY
207RI0011X
Interventional Cardiology Physician
38678
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64076441
—
KY
Enumeration date
07/27/2006
Last updated
01/24/2019
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