Individual
HENRY CARLOS VASCONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 SOUTH LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5887
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 257-7910
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
25551
KY
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
25551
KY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
25551
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64255516
—
KY
Enumeration date
04/20/2006
Last updated
06/10/2020
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