Provider Demographics
NPI:1518966209
Name:POLLOCK, ANN I (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:I
Last Name:POLLOCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MEDICAL HEIGHTS DR
Mailing Address - Street 2:SUITE M
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-4137
Mailing Address - Country:US
Mailing Address - Phone:502-227-7538
Mailing Address - Fax:502-227-9491
Practice Address - Street 1:101 MEDICAL HEIGHTS DR
Practice Address - Street 2:SUITE M
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4137
Practice Address - Country:US
Practice Address - Phone:502-227-7538
Practice Address - Fax:502-227-9491
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY22736207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYC30629OtherRAILROAD MEDICARE
KY110024898OtherRAILROAD MEDICARE
KY000000048739OtherANTHEM BCBS
KY64227366Medicaid
KY65934895Medicaid
KYC30629OtherRAILROAD MEDICARE
KY0212202Medicare ID - Type Unspecified
KY65934895Medicaid