Organization
KISHORE INTERNAL MEDICINE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHORE JADHAV MD (OWNER/PHYSICIAN)
(606) 599-0200
Entity
Organization
Contact information
Practice address
94 MARIE LANGDON DR, STE 2, MANCHESTER, KY 40962-6353
(606) 599-0200
(606) 599-0202
Mailing address
151 N EAGLE CREEK DR, STE 100, LEXINGTON, KY 40509-1889
(859) 263-4341
(859) 263-7441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31-000839
—
KY
Enumeration date
08/14/2006
Last updated
09/11/2025
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