Provider Demographics
NPI:1215136403
Name:MEDLEY, AARON E (MD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:E
Last Name:MEDLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:639 NORTH MULBERRY
Mailing Address - Street 2:HEARTLAND ANESTHESIA CONSULTANTS PSC
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701
Mailing Address - Country:US
Mailing Address - Phone:270-737-4600
Mailing Address - Fax:270-737-1722
Practice Address - Street 1:639 NORTH MULBERRY
Practice Address - Street 2:HEARTLAND ANESTHESIA CONSULTANTS PSC
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701
Practice Address - Country:US
Practice Address - Phone:270-737-4600
Practice Address - Fax:270-737-1722
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY40885207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100023700Medicaid
IN300070481Medicaid
KY0336339Medicare PIN