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Contact Information

IMA M EBONG, MD
740 S LIMESTONE KY CLINIC J401
LEXINGTON, KY40536
 Phone: 859-323-5661
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for IMA M EBONG · (Female)

NPI Number 1891037230
Status Active
Credentials MD
Entity Individual
Enumeration date 03/24/2013
Last updated 05/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 51368
Hospital affiliation(s)
  • UNIVERSITY OF KENTUCKY HOSPITAL - (Acute Care)
    800 ROSE STREET
    LEXINGTON, KY 40536
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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