Individual
JACOB A BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 323-6861
Mailing address
5200 COMMERCE CROSSING, 3RD FLOOR, LOUISVILLE, KY 40229
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R3432
KY
2084P0800X
Psychiatry Physician
Primary
R3432
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2014
Last updated
12/10/2020
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