Individual
JORDAN LEE HERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 CONN TER STE 550, LEXINGTON, KY 40508-3206
(859) 323-5867
(859) 323-8510
Mailing address
113 KENTUCKY AVE UNIT B, LEXINGTON, KY 40502-1718
(615) 598-1640
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
10766
GA
207W00000X
Ophthalmology Physician
Primary
56659
KY
207W00000X
Ophthalmology Physician
67449
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2018
Last updated
05/05/2023
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