Individual
JORDYN UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 344-1600
(859) 344-0091
Mailing address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 344-1600
(859) 344-0091
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC285
KY
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/07/2022
Last updated
09/20/2022
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