Individual
JESUS VICTOR TOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3150 CUSTER DR STE 101, LEXINGTON, KY 40517-4010
(859) 368-0434
(859) 368-0437
Mailing address
3150 CUSTER DR STE 101, LEXINGTON, KY 40517-4010
(859) 368-0434
(859) 368-0437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
42746
KY
207QA0401X
Addiction Medicine (Family Medicine) Physician
42746
KY
208M00000X
Hospitalist Physician
Primary
42746
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42746
MEDICAL LICENSE
KY
05
—
7100094030
—
KY
Enumeration date
07/06/2008
Last updated
06/27/2024
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