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Individual

DOUGLAS J NESBITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
120 N EAGLE CREEK DR STE 460, LEXINGTON, KY 40509-1827
(859) 263-7248
(859) 263-0714
Mailing address
120 N EAGLE CREEK DR STE 460, LEXINGTON, KY 40509-1827
(859) 263-7248
(859) 263-0714

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21624
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64216245
KY
Enumeration date
10/17/2005
Last updated
12/01/2011
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