Organization
THOROUGHBRED ALLERGY AND ASTHMA CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY M MANN MD (OWNER)
(859) 263-1900
Entity
Organization
Contact information
Practice address
3292 EAGLE VIEW LN, STE 150, LEXINGTON, KY 40509-1851
(859) 263-1900
(859) 263-2726
Mailing address
3292 EAGLE VIEW LN, STE 150, LEXINGTON, KY 40509-1851
(859) 263-1900
(859) 263-2726
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
28249
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000077207
BLUE CROSS & BLUE SHIELD
KY
05
—
64282494
—
KY
Enumeration date
06/18/2007
Last updated
08/22/2020
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