Individual
JOEL MONCIVAIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1733 HARRODSBURG RD, LEXINGTON, KY 40504-3617
(859) 278-4869
(859) 278-7690
Mailing address
1733 HARRODSBURG RD STE F, LEXINGTON, KY 40504-3277
(859) 278-4869
(859) 278-7690
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
547411
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100710580
—
KY
Enumeration date
01/29/2007
Last updated
10/29/2024
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