Individual
DR. DEREK BLAKE ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ROSE ST # MS 117, LEXINGTON, KY 40536-0298
(859) 323-5425
Mailing address
800 ROSE ST # MS 117, LEXINGTON, KY 40536-0298
(859) 323-5425
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
52466
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
52466
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2014
Last updated
01/31/2020
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