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Jordan Light
NPI 1114305620 · on the registry since 2015
Practice
- Address
- 1 Macklem Dr
Wilmore, KY 40390 - Phone
- (360) 773-0106
- Organisation at this address
- Asbury University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky