Individual
MR. LEE GERALD LEDFORD II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
11802 BRINLEY AVE, SUITE 102, LOUISVILLE, KY 40243-1089
(800) 738-8045
Mailing address
533 WILD OAK CT, LOUISVILLE, KY 40222-4878
(502) 550-4398
(888) 266-0451
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT586
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT586
KY BAORD OF MED LIC
KY
Enumeration date
04/19/2006
Last updated
07/08/2007
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