Individual
JONATHAN ADAM LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 E BRANNON RD, NICHOLASVILLE, KY 40356-6066
(859) 260-5540
(859) 260-4399
Mailing address
PO BOX 950138, LOUISVILLE, KY 40295-0138
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39542
TN
207Q00000X
Family Medicine Physician
Primary
40193
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437198645
—
VA
05
—
3330555
—
TN
Enumeration date
06/05/2006
Last updated
12/08/2020
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