SearchKentucky103K00000X

Jacob Dietz, BA, RBT

NPI 1659922441 · on the registry since 2019

Practice

Address
2904 Foltz Dr
Edgewood, KY 41017
Phone
(859) 795-3000
Fax
(317) 520-8200
Organisation at this address
Hopebridge, Llc
Hopebridge, Llc
Hopebridge, Llc
Hospital Imaging Co Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
119

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-24

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