Individual
ELIZABETH V. BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9409 NORTON COMMONS BLVD STE 101, PROSPECT, KY 40059-7525
(502) 751-8577
(502) 290-2862
Mailing address
9409 NORTON COMMONS BLVD STE 101, PROSPECT, KY 40059-7525
(502) 751-8577
(502) 290-2862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36808
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110228063
RAILROAD MEDICARE
KY
05
—
200451680
—
IN
05
—
64037856
—
KY
Enumeration date
04/19/2006
Last updated
05/21/2019
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