Individual
DR. JON STANLEY DEMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 VETERANS DR, RM A509A-CDD, LEXINGTON, KY 40502-2235
(859) 281-4964
(859) 381-5824
Mailing address
1101 VETERANS DR., RM A509A -CDD, DEPT. OF VETERANS AFFAIRS,, LEXINGTON, KY 40502-2236
(859) 281-4964
(859) 381-5824
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
21889
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64218894
—
KY
Enumeration date
06/21/2005
Last updated
03/10/2011
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