Latham, Philip Bruce

Latham, Philip Bruce is an individual health care provider with primary practice located at 135 E Maxwell St Suite 200, Lexington KY 40508-2640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Latham, Philip Bruce can be contacted via phone (859) 323-6211.

Contact Information

Primary practice address
135 E Maxwell St Suite 200 Lexington KY 40508-2640
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23186 Kentucky

Profile Details

NPI number 1578606190
LBN Legal business name Latham, Philip Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 31st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578606190 NPPES
Kentucky MEDICAID 64231863

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