Individual
JOHN J IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
419 COLDSTREAM DR, DANVILLE, KY 40422-1013
(859) 236-6621
(859) 238-0471
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA405
KY
Other
Enumeration date
06/30/2005
Last updated
09/26/2025
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