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NPI Code Detail

MEDICARE: PETER NESBITT DO

MEDICARE: PETER NESBITT DO
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
12085R0204XVascular & Interventional Radiology Physician06305KY

General Provider Information

NPI Number : 1811517949
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER NESBITT DO
Provider Business Mailing Address
First Line : 1740 NICHOLASVILLE RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-1431
Country : US
Telephone Number : 859-260-5402
Fax Number : 859-260-6914
Provider Business Practice Location Address
First Line : 1740 NICHOLASVILLE RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-1431
Country : US
Telephone Number : 859-260-5402
Fax Number : 859-260-6914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2020
Last Update Date : 05/12/2026

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Directions to “ PETER NESBITT DO” Practice Location

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