Individual
DR. JEFFREY T OMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9517 US HIGHWAY 42, PROSPECT, KY 40059-9237
(502) 587-0521
Mailing address
9517 US HIGHWAY 42, PROSPECT, KY 40059-9237
(502) 587-0521
(502) 587-3886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32890
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821062605
NPI
KY
05
—
64328909
—
KY
Enumeration date
02/16/2006
Last updated
11/30/2021
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