Provider Demographics
NPI:1891023016
Name:URBANO, DAISY F (MD)
Entity type:Individual
Prefix:DR
First Name:DAISY
Middle Name:F
Last Name:URBANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DAISY
Other - Middle Name:F
Other - Last Name:URBANO-MARTINEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:220 SEMINOLE RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-2011
Mailing Address - Country:US
Mailing Address - Phone:270-769-4648
Mailing Address - Fax:
Practice Address - Street 1:102 ATHLETIC DR
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-3028
Practice Address - Country:US
Practice Address - Phone:502-595-4404
Practice Address - Fax:502-595-4682
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-29
Last Update Date:2009-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY30364207ZB0001X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine