Organization
KENTUCKYONE HEALTH MEDICAL GROUP, INC.
Active
Other names
CHI Saint Joseph Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEL JONES (PRESIDENT)
(859) 313-1713
Entity
Organization
Contact information
Practice address
1401 HARRODSBURG RD, LEXINGTON, KY 40504-3751
(606) 330-7835
(606) 330-7825
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
KY
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
KY
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
KY
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
—
KY
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
KY
363L00000X
Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000060604
ANTHEM GROUP
KY
05
—
200434820A
—
IN
05
—
7100161650 (FRAZIER)
—
KY
05
—
7100200840 (LCSW)
—
KY
05
—
7100200870 (MD)
—
KY
05
—
7100200880 (CRNA)
—
KY
05
—
7100200890 (PA)
—
KY
05
—
78904851 (NP)
—
KY
Enumeration date
03/20/2012
Last updated
08/14/2025
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