Individual
ALEXANDER JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
740 S LIMESTONE STE L119, LEXINGTON, KY 40536-9095
(859) 257-3253
(859) 323-1203
Mailing address
740 S LIMESTONE WING D RM L119, LEXINGTON, KY 40536-0001
(419) 310-4541
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
004998
OH
2255A2300X
Athletic Trainer
2601001728
MI
363A00000X
Physician Assistant
Primary
PA2088
KY
363AM0700X
Medical Physician Assistant
PA2088
KY
363AS0400X
Surgical Physician Assistant
PA2088
KY
Other
Enumeration date
10/27/2016
Last updated
08/26/2025
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