Individual
OLIVER C JAMES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 PROSPEROUS PL STE 102, LEXINGTON, KY 40509-1866
(859) 967-5309
(859) 967-5346
Mailing address
PO BOX 22756, LEXINGTON, KY 40522-2756
(859) 264-1815
(859) 264-1820
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
29049
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
29049
KY
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
29049
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64053952
—
KY
Enumeration date
08/12/2005
Last updated
04/07/2023
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