Individual
JASON CHRISTOPHER HUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9880 ANGIES WAY, STE. 250, LOUISVILLE, KY 40241-2851
(502) 394-6341
(502) 394-6340
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126000857
VA
363A00000X
Physician Assistant
Primary
PA1933
KY
Other
Enumeration date
02/20/2007
Last updated
01/19/2021
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