Individual
JERRY W LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 E CHESTNUT ST # STREET6, LOUISVILLE, KY 40202-1713
(502) 583-3687
(502) 588-7840
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6379
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
50410
KY
207Y00000X
Otolaryngology Physician
N0925
TX
207YX0901X
Otology & Neurotology Physician
0101253457
VA
207YX0901X
Otology & Neurotology Physician
N0925
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214396801
—
TX
05
—
7100478670
—
KY
Enumeration date
04/10/2007
Last updated
05/07/2024
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