person
Jonathan Boland
General Practice Physician in Louisville, Kentucky
NPI 1669059127

Jonathan Boland is a General Practice Physician based in Chicago, KY. Jonathan Boland practices in Louisville, KY. The NPI Number for Jonathan Boland is 1669059127 and holds a License No. (Kentucky).

The current practice location address for Jonathan Boland is 1 Audubon Plaza Dr, Louisville, KY and can be reached out via phone at 502-636-7225.

Location: 1 Audubon Plaza Dr, Louisville, KY, 60677-6351
person
Provider Profile Details
NPI Number
1669059127
Provider Name
Jonathan Boland
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Audubon Plaza Dr, Louisville, KY, 60677-6351
Phone Number
502-636-7225
Fax Number
Provider Enumeration Date
03/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Audubon Plaza Dr
City
State
Zip
40217-1318
Phone Number
502-636-7225
Fax Number
person
Provider Business Mailing Address Details
Address
1 Audubon Plaza Dr
City
State
Zip
40217-1318
Phone Number
502-636-7225
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
58558 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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