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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
101YP2500X
Professional Counselor
104100000X
Social Worker
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207T00000X
Neurological Surgery Physician
207X00000X
Orthopaedic Surgery Physician
2084P0800X
Psychiatry Physician
208600000X
Surgery Physician
KY
363A00000X
Physician Assistant
KY
363L00000X
Nurse Practitioner
367500000X
Certified Registered Nurse Anesthetist
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000060604
ANTHEM GROUP#
KY
05
200434820A
IN
05
7100200840 (LCSW)
KY
05
7100200870 (MD)
KY
05
7100200880 (CRNA)
KY
05
7100200890 (PA)
KY
05
7100201000 (FPAS)
KY
05
7100294690 (LMFT)
KY
05
78904851 (NP)
KY
Enumeration date
05/09/2006
Last updated
09/23/2025
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