Individual
SENNA RAE MUNNIKHUYSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 ROSE ST STE C400, LEXINGTON, KY 40536-0010
(859) 257-4554
(859) 257-8978
Mailing address
1800 ORLEANS ST STE 11379, BALTIMORE, MD 21287-0010
(410) 955-8751
(410) 955-0028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D0089359
MD
208000000X
Pediatrics Physician
R4564
KY
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
58108
KY
Other
Enumeration date
03/26/2017
Last updated
06/20/2023
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