person
Jerry Clanton
Specialist in Louisville, Kentucky
NPI 1881697449

Jerry Clanton is a Specialist based in Louisville, KY. Jerry Clanton practices in Louisville, KY. The NPI Number for Jerry Clanton is 1881697449 and holds a License No. 16385 (Kentucky).

The current practice location address for Jerry Clanton is 4001 Dutchmans Ln, Louisville, KY and can be reached out via phone at 502-897-9594. You can also correspond with Jerry Clanton through the mailing address at PO BOX 437169, LOUISVILLE, KY - 40253-7169 (mailing address contact number: ).

Location: 4001 Dutchmans Ln, Louisville, KY, 40253-7169
person
Provider Profile Details
NPI Number
1881697449
Provider Name
Jerry Clanton
Credential
Provider Entity Type
Individual
Gender
Male
Address
4001 Dutchmans Ln, Louisville, KY, 40253-7169
Phone Number
502-897-9594
Fax Number
Provider Enumeration Date
05/27/2005
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64163850 05 KY
institution
Provider Business Practice Location Address Details
Address
4001 Dutchmans Ln
City
State
Zip
40207-4737
Phone Number
502-897-9594
Fax Number
person
Provider Business Mailing Address Details
Address
4001 Dutchmans Ln
City
State
Zip
40207-4737
Phone Number
502-897-9594
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
16385 (Kentucky)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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