Individual
BANDI RICKELL MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536
(859) 323-5962
Mailing address
740 S LIMESTONE ST J201, LEXINGTON, KY 40536-3504
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
51699
KY
Other
Enumeration date
04/19/2012
Last updated
03/11/2020
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