Individual
SUSAN M. MONOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1775 ALYSHEBA WAY, SUITE 201, LEXINGTON, KY 40509-9023
(859) 278-5007
(859) 278-6867
Mailing address
1775 ALYSHEBA WAY, SUITE 201, LEXINGTON, KY 40509-9023
(859) 278-5007
(859) 278-6867
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38363
KY
208000000X
Pediatrics Physician
38363
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64086952
—
KY
Enumeration date
07/10/2006
Last updated
03/13/2015
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