Jacob Allum

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI 1962317032 · NPPES record last updated Aug 14, 2026

Key facts

NPI
1962317032
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
780 Rose St
Lexington, KY 40536-0001
Phone
(859) 323-6161
NPI assigned
Aug 14, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

780 Rose St
Lexington, KY 40536-0001

Mailing address

501 Park Ave Unit 125
Lexington, KY 40502-2288
Phone (865) 567-4357

Other providers in Lexington, KY

All providers in Lexington, KY · Student in an Organized Health Care Education/Training Program in Kentucky

Sources for this page

Verify at the official NPI Registry.