Individual
DR. THITINART SITHISARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-3241
(859) 323-1850
Mailing address
138 LEADER AVE, LEXINGTON, KY 40508-3215
(859) 323-1850
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
39492
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295879138
—
KY
Enumeration date
02/16/2007
Last updated
12/03/2020
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