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Individual

DR. SUSAN ERICA NEIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2101 NICHOLASVILLE RD, 206, LEXINGTON, KY 40503-2518
(859) 278-6345
(859) 278-1677
Mailing address
2101 NICHOLASVILLE RD, 206, LEXINGTON, KY 40503-2518
(859) 278-6345
(859) 278-1677

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26109
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080144961
RR MEDICARE
01
18D0962807
CLIA
KY
05
64261092
KY
Enumeration date
10/10/2005
Last updated
10/01/2008
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