Individual
ANNE MARIE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
135 E MAXWELL ST, SUITE 250, LEXINGTON, KY 40508-2640
(859) 323-5199
(859) 323-1003
Mailing address
135 E MAXWELL ST, SUITE 250, LEXINGTON, KY 40508-2640
(859) 323-5199
(859) 323-1003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36451
KY
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
36451
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64028046
—
KY
Enumeration date
07/28/2006
Last updated
07/28/2011
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