Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 7857 | KY |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 7857 | KY |
NPI | 1467622449 |
---|---|
Provider Name | Jason Edward Ford |
First Address | Lexington, KY 40503-3278 |
Second Address | Lexington, KY 40503-3278 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2008 |
Last Update Date | 08/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100039960 | (05) | KY |
7100039980 | (05) | KY |