Organization
CHIPPS, CAFFREY & DUBILIER, P.S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON A CLARK M.D. (PRESIDENT)
(859) 278-9513
Entity
Organization
Contact information
Practice address
290 BIG RUN RD, LEXINGTON, KY 40503-2903
(859) 278-9513
(859) 277-6063
Mailing address
290 BIG RUN RD, LEXINGTON, KY 40503-2903
(859) 278-9513
(859) 277-6063
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65907834
—
KY
Enumeration date
07/19/2005
Last updated
08/01/2022
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