Individual
JEFFREY VIOLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1792 ALYSHEBA WAY, SUITE 150, LEXINGTON, KY 40509-2288
(859) 335-9041
(859) 335-9072
Mailing address
1792 ALYSHEBA WAY, SUITE 150, LEXINGTON, KY 40509-2288
(859) 335-9041
(859) 335-9072
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02860
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000338914
ANTHEM
KY
05
—
010177618
—
VA
01
—
3000137
BWC
WV
05
—
3810004553
—
WV
01
—
50005452
PASSPORT
KY
05
—
64039522
—
KY
01
—
P00220271
RR-MEDICARE
KY
Enumeration date
07/28/2006
Last updated
05/04/2012
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