Individual
COURTNEY LEANN EDGAR-ZARATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 218-2581
(859) 257-1632
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-2963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32069
SC
208000000X
Pediatrics Physician
E-7767
AR
208M00000X
Hospitalist Physician
Primary
56336
KY
390200000X
Student in an Organized Health Care Education/Training Program
35.091055
OH
390200000X
Student in an Organized Health Care Education/Training Program
57012028
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
280477
MEDICARE PTAN
AR
Enumeration date
05/22/2007
Last updated
04/04/2022
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