Individual
DR. ANASTASIA A. S. JANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2041 CREATIVE DR STE 100 #54448, LEXINGTON, KY 40505
(606) 618-0125
(606) 619-4209
Mailing address
PO BOX 54448, LEXINGTON, KY 40555-4448
(606) 618-0125
(606) 619-4209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46380
KY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
46380
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100375100
—
KY
Enumeration date
11/14/2008
Last updated
12/18/2020
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