Individual
LEIGH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-6618
(859) 323-2636
Mailing address
730 MEDICAL CENTER COURT, CHULA VISTA, CA 91911
(619) 591-5740
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R6621
KY
Other
Enumeration date
08/19/2014
Last updated
08/30/2024
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