Individual
JOHN M O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE STREET, ROOM C-368, LEXINGTON, KY 40536-0293
(859) 257-9000
Mailing address
800 ROSE STREET, ROOM C-368, LEXINGTON, KY 40536-0293
(859) 218-0765
(859) 218-7436
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
30453
KY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
30453
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64304538
—
KY
Enumeration date
08/09/2006
Last updated
05/11/2022
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