Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 00262 | KY |
Y | 213ES0103X | Foot & Ankle Surgery | 00262 | KY |
NPI | 1245256270 |
---|---|
Provider Name | Dr. Jason S Harrod |
First Address | Lexington, KY 40509 |
Second Address | Lexington, KY 40509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 09/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U85161 | (02) | KY |