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Individual

JASON FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2910 CARTER AVE, ASHLAND, KY 41101-1943
(606) 324-7337
(606) 326-9596
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-9571
(606) 408-6061

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40959
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000526773
ANTHEM BCBS
KY
01
000000598472
ANTHEM BCBS
KY
05
2757913
OH
05
7100012910
KY
Enumeration date
03/29/2007
Last updated
11/18/2021
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