Individual
JERROD T MCCARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7947
(859) 323-5956
(859) 323-1080
Mailing address
165 NATCHEZ TRACE AVE STE 205, BOWLING GREEN, KY 42103-7947
(270) 745-7246
(270) 282-2027
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
51529
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
51529
KY
208VP0000X
Pain Medicine Physician
51529
KY
208VP0014X
Interventional Pain Medicine Physician
51529
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100382040
—
KY
Enumeration date
07/10/2014
Last updated
12/13/2022
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