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Organization
KENTUCKYONE HEALTH MEDICAL GROUP, INC.
Active
Organization
KENTUCKYONE HEALTH MEDICAL GROUP, INC.
Active
Other names
CHI Saint Joseph Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEL JONES (COO)
(859) 313-1713
Entity
Organization
Contact information
Practice address
1401 HARRODSBURG RD, LEXINGTON, KY 40504-3751
(606) 330-7835
(606) 330-7825
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
KY
207QA0505X
Adult Medicine Physician
—
KY
207V00000X
Obstetrics & Gynecology Physician
—
KY
207X00000X
Orthopaedic Surgery Physician
—
KY
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
208800000X
Urology Physician
—
KY
208D00000X
General Practice Physician
Primary
—
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
—
KY
363A00000X
Physician Assistant
—
KY
363L00000X
Nurse Practitioner
—
KY
367A00000X
Advanced Practice Midwife
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000060604
ANTHEM GRP #
KY
05
—
200434820A
—
IN
05
—
7100161650 (FRAZIER)
—
KY
05
—
7100200840 (LCSW)
—
KY
05
—
7100200870 (MD)
—
KY
05
—
7100200880 (CRNA)
—
KY
05
—
7100200890 (PA)
—
KY
05
—
7100225220 (FFM)
—
KY
05
—
7100246920 (SALEEM)
—
KY
05
—
7100247000 (SFM-SHE)
—
KY
05
—
7100292390 (DPM)
—
KY
05
—
78904851 (NP)
—
KY
Enumeration date
08/05/2013
Last updated
08/14/2025
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