Individual provider · Type 1 NPI

Clayton William Bobo

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

NPI number 1710894985 Active

Practice location

780 Rose St, Lexington, Ky 40536
Lexington, KY 40504

Call (270) 873-9594 Map

Mailing address

1899 Tucker Garland Rd
Kirksey, KY 42054-9130

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710894985

Clayton William Bobo's National Provider Identifier is 1710894985, issued on Aug 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Aug 25, 2026.