Individual
JUAN MARTIN FAVETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509
(859) 263-5140
(859) 263-5141
Mailing address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509
(859) 263-5140
(859) 263-5141
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34804
KY
207XS0106X
Orthopaedic Hand Surgery Physician
01051584A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
34804
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200152130A
—
IN
05
—
64348048
—
KY
Enumeration date
09/01/2005
Last updated
05/16/2017
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