Provider Demographics
NPI:1598716565
Name:FETTER, JAMES MONROE III (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MONROE
Last Name:FETTER
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1101 VETERANS DR
Mailing Address - Street 2:VA MEDICAL CENTER (116A)
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-2235
Mailing Address - Country:US
Mailing Address - Phone:859-233-4511
Mailing Address - Fax:859-281-4803
Practice Address - Street 1:1101 VETERANS DR
Practice Address - Street 2:VA MEDICAL CENTER (116A)
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-2235
Practice Address - Country:US
Practice Address - Phone:859-233-4511
Practice Address - Fax:859-281-4803
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
KY233822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry