IndividualActive
Jessica Kavanaugh, MD
NPI 1083872774 · Physical Medicine & Rehabilitation Physician · Lexington, KY
Provider details
- NPI number
- 1083872774
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 35-094893 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2250 Leestown Rd
Lexington, KY 40511-1052
Phone: (859) 233-4511
Fax: (859) 281-3801
Approximate (ZIP-level) locationGet directions
Mailing address
2250 Leestown Rd
Lexington, KY 40511-1052
Registry dates
- Enumerated
- 2008-05-29
- Last updated
- 2024-12-11
- Certified
- 2024-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.