Individual
DR. ANJANA L PETTIGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 ROSE STREET, LEXINGTON, KY 40536-0001
(859) 323-5425
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 257-7910
Taxonomy
Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
Primary
26584
KY
207VM0101X
Maternal & Fetal Medicine Physician
26584
KY
207ZC0500X
Cytopathology Physician
26584
KY
2080A0000X
Pediatric Adolescent Medicine Physician
26584
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64265846
—
KY
Enumeration date
04/19/2006
Last updated
03/04/2013
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