Individual
DR. JEFFREY MARK ELROD
Active
Individual
DR. JEFFREY MARK ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42545
KY
207R00000X
Internal Medicine Physician
R1105
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000620784
ANTHEM - NIS
KY
01
—
000026447T
HUMANA - NIS
KY
01
—
00533139
MEDICARE - NIS
KY
01
—
105793
SIHO - NIS
KY
05
—
200967660
—
IN
01
—
3721116000
PASSPORT ADVTG - NIS
KY
01
—
50024311
PASSPORT - NIS
KY
01
—
6615945
CIGNA - NIS
KY
01
—
7100073850
MEDICAID KY (NIS)
KY
01
—
P00745275
RAILROAD MCR KY - NIS
KY
Enumeration date
02/20/2007
Last updated
01/12/2021
Update your record
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