Individual
JESUS C SIADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
198 CREEKPORT DR, COLUMBIA, KY 42728-2120
(270) 250-9428
Mailing address
901 WESTLAKE DR, COLUMBIA, KY 42728-1123
(270) 384-4753
(270) 385-9123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26032
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64260326
—
KY
Enumeration date
01/23/2006
Last updated
04/12/2026
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