Individual
LUTHER CREED PETTIGREW II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE, J 401, LEXINGTON, KY 40536-0001
(859) 323-5661
Mailing address
740 S LIMESTONE, J 401, LEXINGTON, KY 40536-0001
(859) 323-5661
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
26574
KY
2084V0102X
Vascular Neurology Physician
26574
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64265747
—
KY
Enumeration date
06/02/2006
Last updated
05/02/2022
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