Individual
MR. MAXWELL JETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 ROSE ST RM M-53, LEXINGTON, KY 40536-3983
(859) 323-5083
(859) 323-8056
Mailing address
800 ROSE ST RM M-53, LEXINGTON, KY 40536-3983
(541) 259-0235
(859) 323-8056
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/16/2022
Last updated
03/29/2024
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