Individual
DR. CASEY MILES LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1707 CEDAR GROVE RD STE 20, SHEPHERDSVILLE, KY 40165-8592
(502) 215-5090
(502) 215-5095
Mailing address
1707 CEDAR GROVE RD STE 20, SHEPHERDSVILLE, KY 40165-8592
(502) 215-5090
(502) 215-5095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41599
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200922040
—
IN
05
—
7100047810
—
KY
Enumeration date
02/13/2007
Last updated
01/05/2011
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