Individual
JORDAN PATRICK HILGEFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 CENTRAL AVE STE 200, LOUISVILLE, KY 40208-1451
(502) 588-8700
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
TP140
KY
390200000X
Student in an Organized Health Care Education/Training Program
4351044454
MI
Other
Enumeration date
06/03/2016
Last updated
06/22/2020
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