Individual
JORDON TAYLOR TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2375 PROFESSIONAL HEIGHTS DR STE 240, LEXINGTON, KY 40503-3040
(855) 591-0092
Mailing address
1620 SQUIRE HART WAY, LEXINGTON, KY 40515-5395
(859) 358-4926
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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