Individual
JEAN A SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1451 HARRODSBURG RD, SUITE D-502, LEXINGTON, KY 40504-3758
(859) 277-8560
(859) 277-8866
Mailing address
1451 HARRODSBURG RD, SUITE D-502, LEXINGTON, KY 40504-3758
(859) 277-8560
(859) 277-8866
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25337
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000110942
ANTHEM
KY
05
—
64253370
—
KY
Enumeration date
12/08/2005
Last updated
05/22/2008
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