Individual
DR. JORDAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
740 S LIMESTONE RM A301, LEXINGTON, KY 40536-0001
(859) 323-6494
Mailing address
740 S LIMESTONE RM A301, LEXINGTON, KY 40536-0001
(859) 323-6494
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
04056
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04056
KENTUCKY LICENSE
KY
Enumeration date
03/30/2009
Last updated
05/15/2017
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