Individual
DR. JASON T SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 3RD ST, SUITE 310, HENDERSON, KY 42420-2993
(270) 826-1266
(270) 827-5385
Mailing address
110 3RD ST, SUITE 310, HENDERSON, KY 42420-2993
(270) 826-1266
(270) 827-5385
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01034049A
IN
207RG0100X
Gastroenterology Physician
Primary
18556
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247420A
—
IN
05
—
64185564
—
KY
Enumeration date
09/18/2007
Last updated
04/26/2026
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