Individual
LEONOR S PAGTAKHAN SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
156 ISLAND CREEK RD, PIKEVILLE, KY 41501-9340
(606) 432-0174
(606) 437-0438
Mailing address
156 ISLAND CREEK RD, PIKEVILLE, KY 41501-9340
(606) 432-0174
(606) 437-0438
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
17816
KY
208000000X
Pediatrics Physician
17816
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64178163
—
KY
Enumeration date
10/25/2005
Last updated
03/17/2026
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