Individual
JASON P HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 HARRODSBURG RD, STE B-355, LEXINGTON, KY 40504-3747
(859) 276-5262
(859) 277-6509
Mailing address
1401 HARRODSBURG RD, STE B355, LEXINGTON, KY 40504-3747
(859) 276-5262
(859) 277-6509
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35221
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64090632
—
KY
01
—
P00752709
RAILROAD MEDICARE
KY
Enumeration date
06/22/2005
Last updated
07/30/2014
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