Individual
MARY ELIZABETH OATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 ROSE ST, HX307B, LEXINGTON, KY 40536-0001
(859) 323-2954
(859) 257-4457
Mailing address
800 ROSE ST, HX307B, LEXINGTON, KY 40536-0001
(859) 323-2954
(859) 257-4457
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
41376
KY
2085N0904X
Nuclear Radiology Physician
55284
MA
2085R0202X
Diagnostic Radiology Physician
41376
KY
2085R0202X
Diagnostic Radiology Physician
55284
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100034010
—
KY
Enumeration date
03/03/2006
Last updated
08/03/2016
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