Individual
DR. MARK ALLEN WURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
DEPARTMENT OF PEDIATRICS 740 S LIMESTONE ST, LEXINGTON, KY 40536-0001
(859) 218-1451
Mailing address
DEPARTMENT OF PEDIATRICS, 138 LEADER AVE., LEXINGTON, KY 40506-9983
(859) 218-1451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
NA
KY
208000000X
Pediatrics Physician
NA
KY
2080P0201X
Pediatric Allergy/Immunology Physician
44489
KY
2080P0214X
Pediatric Pulmonology Physician
Primary
44489
KY
Other
Enumeration date
11/11/2008
Last updated
07/14/2017
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