Provider Demographics
NPI:1861532327
Name:DRAUS, JOHN MARTIN JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MARTIN
Last Name:DRAUS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:KENTUCKY CHILDRENS HOSPITAL
Mailing Address - Street 2:MN-102, CHANDLER MEDICAL CENTER
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0298
Mailing Address - Country:US
Mailing Address - Phone:859-323-5625
Mailing Address - Fax:859-323-5289
Practice Address - Street 1:KENTUCKY CHILDRENS HOSPITAL
Practice Address - Street 2:MN-102, CHANDLER MEDICAL CENTER
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0298
Practice Address - Country:US
Practice Address - Phone:859-323-5625
Practice Address - Fax:859-323-5289
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2010-07-13
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Provider Licenses
StateLicense IDTaxonomies
KYR0465208600000X
KY435152086S0120X
IN01065367A2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery