Individual
RAY ISINGA MIREMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 MOORE DR STE 205, LEXINGTON, KY 40503-2951
(859) 489-4126
(859) 214-7634
Mailing address
160 MOORE DR STE 205, LEXINGTON, KY 40503-2951
(859) 489-4126
(859) 214-7634
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R6003
KY
390200000X
Student in an Organized Health Care Education/Training Program
R6003
KY
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/27/2021
Last updated
12/05/2025
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