Individual
SELENA S THE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 S LIMESTONE, LEXINGTON, KY 40536-1702
(859) 323-5901
(859) 323-3040
Mailing address
422 QUEENSWAY DR, LEXINGTON, KY 40502-1009
(859) 230-1264
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
58522
KY
Other
Enumeration date
06/10/2019
Last updated
06/05/2024
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