Individual
DR. JONATHAN MICHAEL FEDDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE STREET HQ-101, LEXINGTON, KY 40536-0293
(859) 229-2726
Mailing address
4560 WINDSTAR WAY, LEXINGTON, KY 40515-4818
(859) 229-2726
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
R1669
KY
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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