Individual
JOHN MICHAEL JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3320 TATES CREEK RD STE 302, LEXINGTON, KY 40502-3400
(859) 269-4604
Mailing address
3320 TATES CREEK RD STE 302, LEXINGTON, KY 40502-3400
(859) 269-4604
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
54025
KY
Other
Enumeration date
04/18/2017
Last updated
07/07/2020
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