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Contact Information

NICOLA JABBOUR, MD
3470 BLAZER PKWY STE 350
LEXINGTON, KY40509-2713
 Phone: 859-629-7110
 Fax: 859-543-1989
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NICOLA JABBOUR · (Male)

NPI Number 1740485168
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2007
Last updated 01/11/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 43211
  • KY Medicaid 7100126710
  • Other 000000864630 ANTHEM BLUE CROSS AND BLUE SHIELD
  • Other CS1424500286 HUMANA CARESOURCE
Hospital affiliation(s)
  • EPHRAIM MCDOWELL FORT LOGAN HOSPITAL - (Critical Access)
    110 METKER TRAIL
    STANFORD, KY 40484
  • EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER - (Acute Care)
    217 SOUTH THIRD STREET
    DANVILLE, KY 40422
  • THE JAMES B HAGGIN MEMORIAL HOSPITAL - (Critical Access)
    464 LINDEN AVENUE
    HARRODSBURG, KY 40330
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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