Individual
JEREMY PATRICK STICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 WELLINGTON WAY STE 330, LEXINGTON, KY 40503-1331
(859) 439-0400
Mailing address
3028 SHADY KNOLL RST, LEXINGTON, KY 40511-8952
(859) 333-3065
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
44491
KY
207P00000X
Emergency Medicine Physician
Primary
TP715
KY
Other
Enumeration date
05/11/2011
Last updated
04/14/2022
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