Individual
TAUNYA M JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 PHYSICIANS PARK, FRANKFORT, KY 40601-4181
(502) 223-8400
(502) 875-3073
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01063711A
IN
208000000X
Pediatrics Physician
Primary
454282
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000882123
ANTHEM-NCMA
KY
01
—
163569
SIHO-NCMA
KY
01
—
50040381
PASSPORT PROVIDER ID
KY
01
—
50076378
PASSPORT-NCMA
KY
05
—
7100204430
—
KY
Enumeration date
12/20/2006
Last updated
10/15/2019
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