Provider Demographics
NPI:1528251741
Name:ELKINSON, ELIZABETH KEITH (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:KEITH
Last Name:ELKINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:ALICE
Other - Last Name:KEITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:520 SAYRE AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508-2316
Mailing Address - Country:US
Mailing Address - Phone:859-537-2514
Mailing Address - Fax:859-721-1202
Practice Address - Street 1:910 WALLACE AVE STE 302
Practice Address - Street 2:
Practice Address - City:LEITCHFIELD
Practice Address - State:KY
Practice Address - Zip Code:42754-2418
Practice Address - Country:US
Practice Address - Phone:270-259-2700
Practice Address - Fax:270-259-2717
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY42388207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100056670Medicaid
KYK037840Medicare PIN