Individual
BRANDON TAYLOR JACOBS BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11701 BLUEGRASS PKWY STE 200, LOUISVILLE, KY 40299-2302
(502) 245-4168
Mailing address
5200 COMMERCE CROSSINGS DR, LOUISVILLE, KY 40229-2182
(502) 245-4168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05870
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2021
Last updated
07/26/2024
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