Most Relevant Information
Provider Data
| NPI Number: | 1003305509 |
| Provider Name: | JORDAN REDFIELD MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2018 |
| Last Updated: | 06/26/2024 |
Provider Practice Location
425 CENTRE VIEW BLVD
CRESTVIEW HILLS
KY
410173409
Practice Location Phone/Fax
| Phone: | 8593413575 |
| Fax: | 8593415702 |
Provider Mailing Location
PO BOX 32160
LOUISVILLE
KY
402322160
Provider Mailing Phone/Fax
| Phone: | 8593413575 |
| Fax: | 8593415702 |