Individual
JACOB WILLIAM VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3615 E JOHN ROWAN BLVD STE 104, BARDSTOWN, KY 40004-3264
(502) 348-5968
(270) 706-5802
Mailing address
3615 E JOHN ROWAN BLVD STE 104, BARDSTOWN, KY 40004-3264
(502) 348-5968
(270) 706-5802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34239
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64014111
—
KY
Enumeration date
07/05/2005
Last updated
03/04/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us