Individual
DR. JEAN M NOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3454
(859) 341-4525
(859) 341-4993
Mailing address
PO BOX 631662, CINCINNATI, OH 45263-1662
(859) 581-7120
(859) 581-7207
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23456
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0667505
—
OH
05
—
100374340
—
IN
01
—
180021901
MEDICARE RAILROAD
—
05
—
64234560
—
KY
Enumeration date
06/01/2005
Last updated
04/04/2018
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