Jacob A Bishop, MD
Psychiatry & Neurology, Psychiatry in Lexington, KY. Individual provider (NPI-1).
NPI number1013324136
StatusActive
Last updated in NPPESDec 10, 2020
Details
- NPI
- 1013324136
- Entity type
- Individual (NPI-1)
- Name
- Jacob A Bishop
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2014
- Certification date
- Dec 10, 2020
- Last updated
- Dec 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | R3432 | KY | Yes |
| 208000000X | Pediatrics | R3432 | KY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
245 Fountain CtLexington, KY 40509-1888
Phone 859-323-6861
Mailing address
5200 Commerce Crossing3rd Floor
Louisville, KY 40229
Phone 502-253-4924 · Fax 502-489-5750
Other practice locations
1 Trillium Way
Corbin, KY 40701-8426
Corbin, KY 40701-8426
Phone 606-523-8521
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