Individual
JOSEPH L. BOBADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF KENTUCKY VASCULAR SURGERY, 800 ROSE STREET, C213, LEXINGTON, KY 40536-0293
(859) 323-6346
(859) 323-6840
Mailing address
UNIVERSITY OF KENTUCKY VASCULAR SURGERY, 800 ROSE STREET, C213, LEXINGTON, KY 40536-0293
(859) 323-6346
(859) 323-6840
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45509
KY
208600000X
Surgery Physician
48319
WI
2086S0129X
Vascular Surgery Physician
TP575
KY
390200000X
Student in an Organized Health Care Education/Training Program
48319
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100206840
—
KY
Enumeration date
05/05/2006
Last updated
05/16/2014
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