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Contact Information

JEAN M NOLL, MD
500 THOMAS MORE PKWY
CRESTVIEW HILLS, KY41017-3454
 Phone: 859-341-4525
 Fax: 859-341-4993
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JEAN M NOLL · (Female)

NPI # 1760484935
Status Active
Credentials MD
Entity Individual
Enumeration date 06/01/2005
Last updated 04/04/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 23456
  • IN Medicaid 100374340
  • KY Medicaid 64234560
  • OH Medicaid 0667505
  • Other 180021901 MEDICARE RAILROAD
Hospital affiliation(s)
  • ST ELIZABETH MEDICAL CENTER NORTH - (Acute Care)
    1 MEDICAL VILLAGE DRIVE
    LAKESIDE PARK, KY 41017
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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