Individual
JORDAN MATTHEW MCNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1054 CENTER DR STE 2, RICHMOND, KY 40475-3851
(859) 625-5242
(859) 625-5279
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2654
KY
363AM0700X
Medical Physician Assistant
PA2654
KY
Other
Enumeration date
09/21/2018
Last updated
07/06/2026
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