Provider Demographics
NPI:1447543293
Name:CASE, THERESA V (DO)
Entity type:Individual
Prefix:DR
First Name:THERESA
Middle Name:V
Last Name:CASE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:E
Other - Last Name:VASTERLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:UNIVERSITY OF KENTUCKY KENTUCKY CLINIC L543
Mailing Address - Street 2:740 S. LIMESTONE
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-2813
Mailing Address - Country:US
Mailing Address - Phone:859-323-9555
Mailing Address - Fax:859-257-2418
Practice Address - Street 1:UNIVERSITY OF KENTUCKY KENTUCKY CLINIC L543
Practice Address - Street 2:740 S. LIMESTONE
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-2813
Practice Address - Country:US
Practice Address - Phone:859-323-9555
Practice Address - Fax:859-257-2418
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY03741207RC0200X, 207RP1001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program