Provider Demographics
NPI:1912380569
Name:MISGINA, FILMON (MS)
Entity Type:Individual
Prefix:MR
First Name:FILMON
Middle Name:
Last Name:MISGINA
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 ROSE STREET, ROOM C14
Mailing Address - Street 2:UNIVERSITY OF KENTUCKY
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40346-0293
Mailing Address - Country:US
Mailing Address - Phone:859-257-7616
Mailing Address - Fax:859-257-6114
Practice Address - Street 1:800 ROSE STREET, ROOM C-14
Practice Address - Street 2:UNIVERSITY OF KENTUCKY
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40346-0293
Practice Address - Country:US
Practice Address - Phone:859-257-7616
Practice Address - Fax:859-257-6114
Is Sole Proprietor?:No
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program