Individual
NICHOLAS JAMES FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4000
(859) 258-6203
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
56045
KY
390200000X
Student in an Organized Health Care Education/Training Program
R5071
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100681340
—
KY
Enumeration date
05/05/2017
Last updated
04/13/2023
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