Individual
YURI VILLARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
166 PASADENA DR, LEXINGTON, KY 40503-2973
(859) 278-0319
(859) 277-9699
Mailing address
PO BOX 910670, LEXINGTON, KY 40591-0670
(859) 971-4685
(859) 971-4602
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
28773
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64277733
—
KY
Enumeration date
07/28/2006
Last updated
12/09/2020
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