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Individual

JEMIN ABY JOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 ROSE ST, LEXINGTON, KY 40536-2843
(859) 323-6047
(859) 257-3873
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125074708
IL
207R00000X
Internal Medicine Physician
57238
KY
207R00000X
Internal Medicine Physician
TP966
KY
208M00000X
Hospitalist Physician
Primary
57238
KY

Other

Enumeration date
07/03/2019
Last updated
08/04/2025
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