Individual
CHRISTOPHER PHILLIP DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE STREET, LEXINGTON, KY 40536-0001
(859) 323-5345
Mailing address
138 LEADER AVE, LEXINGTON, KY 40508-3215
(859) 257-7910
(859) 257-7899
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
33954
KY
207VX0000X
Obstetrics Physician
33954
KY
207VX0201X
Gynecologic Oncology Physician
Primary
33954
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64185424
—
KY
Enumeration date
06/15/2006
Last updated
12/11/2007
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