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NPI Code Detail

MEDICARE: DR. JONATHAN GRABAU MD

MEDICARE: DR. JONATHAN GRABAU 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
1207XP3100XPediatric Orthopaedic Surgery PhysicianTP762KY

General Provider Information

NPI Number : 1306307343
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN GRABAU MD
Provider Business Mailing Address
First Line : 740 S LIMESTONE ROOM K403
Second Line :
City : LEXINGTON
State : KY
Zip : 40536-0001
Country : US
Telephone Number : 859-218-3044
Fax Number : 859-257-1561
Provider Business Practice Location Address
First Line : 110 CONN TER
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-3206
Country : US
Telephone Number : 859-266-2101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2019
Last Update Date : 12/18/2025

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