Provider Demographics
NPI:1528050366
Name:BEHRMAN, JAUDON ELAINE (MD)
Entity type:Individual
Prefix:DR
First Name:JAUDON
Middle Name:ELAINE
Last Name:BEHRMAN
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 1:651 PERIMETER DR
Mailing Address - Street 2:STE.300
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-4134
Mailing Address - Country:US
Mailing Address - Phone:859-268-5300
Mailing Address - Fax:859-335-3723
Practice Address - Street 1:651 PERIMETER DR
Practice Address - Street 2:STE.300
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-4134
Practice Address - Country:US
Practice Address - Phone:859-268-5300
Practice Address - Fax:859-335-3723
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY23655174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist