Individual
DR. MARY EVELYN O'DANIEL-PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4000
(859) 258-4796
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4000
(859) 258-4796
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
28113
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64281132
—
KY
Enumeration date
07/19/2005
Last updated
02/21/2019
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