Individual
ANA KAROLINA VIQUEZ-BEITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 S LIMESTONE CTW 304, LEXINGTON, KY 40536
(859) 323-9918
(859) 323-1197
Mailing address
900 S LIMESTONE CTW 304, LEXINGTON, KY 40536-0293
(859) 323-9918
(859) 323-1197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01084870A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001557183
ANTHEM PTAN
IN
01
—
1102368824
ANTHEM PTAN
IN
05
—
300052025
—
IN
Enumeration date
07/04/2018
Last updated
07/11/2025
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