Individual
AGUSTINA A. BALUYOT
Active
Individual
AGUSTINA A. BALUYOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18649
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000017508
ANTHEM
KY
01
—
030214000
MAGELLAN
KY
01
—
038616
VALUE OPTIONS
KY
01
—
170254
PHCS
KY
05
—
64186497
—
KY
Enumeration date
05/03/2006
Last updated
09/18/2015
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