Provider Demographics
NPI:1891770301
Name:FIBEL, DEBBIE G (MD)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:G
Last Name:FIBEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 NICHOLASVILLE RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2518
Mailing Address - Country:US
Mailing Address - Phone:859-373-0643
Mailing Address - Fax:859-912-7002
Practice Address - Street 1:2101 NICHOLASVILLE RD
Practice Address - Street 2:SUITE 400
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2518
Practice Address - Country:US
Practice Address - Phone:859-373-0643
Practice Address - Fax:859-912-7002
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-08
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY26673207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000227301OtherANTHEM
KY64266737Medicaid
KYE46545Medicare UPIN
KY000000227301OtherANTHEM