Pettigrew, Luther Creed

Pettigrew, Luther Creed is an individual health care provider with primary practice located at 740 S Limestone J 401, Lexington KY 40536-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Pettigrew, Luther Creed can be contacted via phone (859) 323-5661.

Contact Information

Primary practice address
740 S Limestone J 401 Lexington KY 40536-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 26574 Kentucky
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 26574 Kentucky

Profile Details

NPI number 1184662397
LBN Legal business name Pettigrew, Luther Creed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated May 2nd, 2022 - about 2 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 1184662397 NPPES
Kentucky MEDICAID 64265747

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