Provider Demographics
NPI:1467709998
Name:DAVE, KINJAL (MD)
Entity Type:Individual
Prefix:DR
First Name:KINJAL
Middle Name:
Last Name:DAVE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KINJAL
Other - Middle Name:
Other - Last Name:DAVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:UK DIVISION OF PULMONARY CRITICAL CARE
Mailing Address - Street 2:740 S. LIMESTONE, L543 KY CLINIC
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0284
Mailing Address - Country:US
Mailing Address - Phone:859-323-5045
Mailing Address - Fax:859-257-2418
Practice Address - Street 1:UK DIVISION OF PULMONARY CRITICAL CARE
Practice Address - Street 2:740 S. LIMESTONE, L543 KY CLINIC
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0284
Practice Address - Country:US
Practice Address - Phone:859-323-9555
Practice Address - Fax:859-257-2418
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY49182207R00000X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine