Individual
JEREMIAH NOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2195 HARRODSBURG RD, LEXINGTON, KY 40504-3516
(859) 257-9255
(859) 257-3585
Mailing address
110 VILLAGE PKWY, NICHOLASVILLE, KY 40356-2327
(859) 887-8400
(859) 885-8448
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2699
KY
363A00000X
Physician Assistant
TC949
KY
363AM0700X
Medical Physician Assistant
PA2699
KY
363AS0400X
Surgical Physician Assistant
PA2699
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2020
Last updated
03/19/2024
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