Provider Demographics
NPI:1720583065
Name:VILLALOBOS ACOSTA, ANA PAULA (MD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:PAULA
Last Name:VILLALOBOS ACOSTA
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 1:800 ROSE ST PAV A H & MARKEY
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-257-1000
Mailing Address - Fax:859-323-1194
Practice Address - Street 1:800 ROSE ST PAV A H & MARKEY
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-1888
Practice Address - Country:US
Practice Address - Phone:859-257-1000
Practice Address - Fax:859-323-1194
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY56879208000000X, 2084P0804X, 2084P0800X
KYR4897208000000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry