Individual
DR. JONAS NOEL HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 S 5TH ST, BARDSTOWN, KY 40004-1142
(502) 348-5968
(502) 349-0963
Mailing address
201 S 5TH ST, BARDSTOWN, KY 40004-1142
(502) 348-5968
(502) 349-0963
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02977
KY
207Q00000X
Family Medicine Physician
Primary
02977
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611327471
TAX IDENIFICATION NUMBER
KY
Enumeration date
07/11/2006
Last updated
05/15/2015
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