Individual
DR. JAIME KIRTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 ROSE ST, H404, LEXINGTON, KY 40536-0001
(859) 323-2369
Mailing address
DEPARTMENT OF PEDIATRICS 138 LEADER AVE, LEXINGTON, KY 40506-9983
(859) 323-5962
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
42381
KY
208M00000X
Hospitalist Physician
Primary
42381
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100077480
—
KY
Enumeration date
02/05/2007
Last updated
06/03/2020
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