Individual
MICHELLE MARY ABOU-JAOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 PERIMETER DR STE 200, LEXINGTON, KY 40517-4121
(859) 278-9393
Mailing address
601 PERIMETER DR STE 200, LEXINGTON, KY 40517-4121
(859) 278-9393
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
52488
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0346494
—
OH
05
—
1063895613
—
WV
05
—
300025130
—
IN
05
—
7100424310
—
KY
Enumeration date
07/01/2015
Last updated
10/18/2021
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