Individual
DR. RONALD CLAY BIBB JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2220 EXECUTIVE DR STE 102, LEXINGTON, KY 40505-4871
(859) 396-2743
(502) 242-7541
Mailing address
4010 DUPONT CIR STE 401, LOUISVILLE, KY 40207-4887
(502) 903-5324
(502) 242-7541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31272
KY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
31272
KY
208000000X
Pediatrics Physician
31272
KY
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
31272
KY
Other
Enumeration date
10/30/2008
Last updated
05/13/2026
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