Individual
DARRELL A PALLADINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 528-1212
Mailing address
4216 KITANO CT, LEXINGTON, KY 40515-6335
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29077
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000334211
BLUE CROSS BLUE SHIELD
KY
01
—
000000729956
ANTHEM/TROVER CLINIC FOUNDATION INC
KY
05
—
64290778
—
KY
01
—
P00977282
RR MEDICARE
KY
Enumeration date
06/05/2006
Last updated
11/22/2011
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