Individual
JASON ALLEN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA, INTERN
Contact information
Practice address
16029 DRY CREEK WAY, LOUISVILLE, KY 40299-3326
(502) 500-6648
(502) 297-8103
Mailing address
16029 DRY CREEK WAY, LOUISVILLE, KY 40299-3326
(502) 500-6648
(502) 297-8103
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
337010
ARRT
KY
Enumeration date
10/17/2008
Last updated
09/19/2011
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