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

Mr. Ethan Revis, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699616714

Mr. Ethan Revis, DO is a Student in an Organized Health Care Education/Training Program in Lexington, Kentucky. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Lexington, KY

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (FL)

Record details

NPI number1699616714
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

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