Individual
DR. JASON RODNEY WOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
138 EASTBROOKE COURT, SUITE 130, MT. WASHINGTON, KY 40047
(502) 538-0222
(502) 538-0282
Mailing address
PO BOX 1379, MOUNT WASHINGTON, KY 40047-1379
(502) 594-2504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5164
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00911001
PTAN
KY
Enumeration date
08/06/2008
Last updated
04/09/2009
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