Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Evan Michael Jacoby, MD

Individual provider Pediatrics Physician · NPI 1497250062

Evan Michael Jacoby, MD is a Pediatrics Physician in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2018.

Licensed in
KY
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

245 Fountain Ct
Lexington, KY 40509-1888
Phone: (859) 323-6861
Fax: (859) 323-1194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence R4747 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence R4747 (KY)

Record details

NPI number1497250062
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2018
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020

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