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NPI Code Detail

MEDICARE: DR. JOANNA L SANTIESTEBAN MD

MEDICARE: DR. JOANNA L SANTIESTEBAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RA0401XAddiction Medicine (Internal Medicine) Physician39452KY
2207V00000XObstetrics & Gynecology Physician39452KY
3207VG0400XGynecology Physician39452KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700870078
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOANNA L SANTIESTEBAN MD
Provider Business Mailing Address
First Line : 1221 S BROADWAY
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-2701
Country : US
Telephone Number : 859-258-6200
Fax Number : 859-258-6203
Provider Business Practice Location Address
First Line : 160 N EAGLE CREEK DR STE 400
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-2124
Country : US
Telephone Number : 859-258-5220
Fax Number : 859-258-5405
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 10/08/2024

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Directions to “ DR. JOANNA L SANTIESTEBAN MD” Practice Location

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