Individual
JESSE MATHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 FOUNTAIN CT, LEXINGTON, KY 40509-2792
(859) 323-6021
(859) 323-1670
Mailing address
245 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 323-6021
(859) 323-1670
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
58142
KY
2084P0804X
Child & Adolescent Psychiatry Physician
58142
KY
Other
Enumeration date
03/26/2020
Last updated
06/09/2025
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