Individual provider · NPI-1
Maison Austin, DO
Emergency Medicine · Lexington, KY
NPI number1992321152
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1992321152
- Entity type
- Individual (NPI-1)
- Name
- Maison Austin
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2020
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 05446 | KY | Yes |
| 207P00000X | Emergency Medicine | OT020407 | PA |
Practice location
1221 S BroadwayLexington, KY 40504-2701
Phone 859-258-4000
Mailing address
1086 Franklin StJohnstown, PA 15905-4305
Phone 814-534-3745
Other practice locations
1086 Franklin St
Johnstown, PA 15905-4305
Johnstown, PA 15905-4305
Phone 814-534-3745
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