Individual
DR. SEAN M MCTIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UK DEPARTMENT OF PEDIATRICS, 800 ROSE STREET, MS-465, LEXINGTON, KY 40536-0001
(859) 323-2983
Mailing address
UK DEPARTMENT OF PEDIATRICS, 800 ROSE STREET, MS-465, LEXINGTON, KY 40536-0001
(859) 323-2983
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
46214
KY
208000000X
Pediatrics Physician
46214
KY
2080P0208X
Pediatric Infectious Diseases Physician
Primary
46214
KY
Other
Enumeration date
01/22/2009
Last updated
10/07/2015
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