Individual provider · Type 1 NPI

Ima Mbodie Ebong, MD

Clinical Neurophysiology Physician · Lexington, KY

NPI number 1891037230 Active

Practice location

740 S Limestone Ky Clinic J401
Lexington, KY 40536

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Neurology Physician 2084N0400X51368 (KY)
Clinical Neurophysiology Physician Primary 2084N0600X51368 (KY)

Clinical Neurophysiology Physician: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

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About NPI 1891037230

Ima Mbodie Ebong, MD's National Provider Identifier is 1891037230, issued on Mar 24, 2013. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Lexington, KY. The record was last updated on Aug 5, 2026.