Individual
JESSICA LEE HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
800 ROSE STREET, ROOM M53, LEXINGTON, KY 40536-0298
(859) 323-5908
(859) 323-8056
Mailing address
800 ROSE ST RM M53, LEXINGTON, KY 40536-0298
(859) 323-5908
(859) 323-8056
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04728
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2017
Last updated
06/24/2020
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