Individual
DR. BRENDA JEAN JOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741-6668
(606) 330-4220
Mailing address
PO BOX 1325, CORBIN, KY 40702-1325
(606) 526-8131
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
02704
KY
207RG0100X
Gastroenterology Physician
1280
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000210807
BLUE ACCESS
—
05
—
64031867
—
KY
01
—
P01490451
RR MEDICARE
KY
Enumeration date
06/26/2006
Last updated
10/28/2016
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