Individual
LYDIA E KUO-BONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-7650
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(919) 834-0234
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
0101260166
VA
2085P0229X
Pediatric Radiology Physician
58390
KY
2085R0202X
Diagnostic Radiology Physician
2017-02262
NC
2085R0202X
Diagnostic Radiology Physician
58390
KY
2085R0202X
Diagnostic Radiology Physician
A118553
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669796389
—
VA
05
—
7100937960
—
KY
Enumeration date
03/24/2010
Last updated
02/05/2025
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