Provider Demographics
NPI:1568406742
Name:NESBITT, JOHN A II (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:NESBITT
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 23229
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42304-3229
Mailing Address - Country:US
Mailing Address - Phone:270-688-1330
Mailing Address - Fax:270-688-1338
Practice Address - Street 1:440 HOPKINSVILLE ST
Practice Address - Street 2:SUITE 2E
Practice Address - City:GREENVILLE
Practice Address - State:KY
Practice Address - Zip Code:42345-1124
Practice Address - Country:US
Practice Address - Phone:270-377-2401
Practice Address - Fax:270-377-2404
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
NC25515208800000X
KY36905208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64044456Medicaid
NC89128VPMedicaid
NC89128VPMedicaid
NCBN0412902OtherDEA
NC89128VPMedicaid
KYP400035690Medicare PIN
KYK138192Medicare PIN