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IndividualActive

Jordan Light

Specialist/Technologist - Athletic Trainer

NPI: 1114305620Wilmore, Kentucky, 40390(360) 773-0106Male

About Jordan Light

Jordan Light is a male healthcare professional specializing in Specialist/Technologist - Athletic Trainer with a focus on Athletic Trainer, registered under National Provider Identifier (NPI) number 1114305620.

Their primary practice is located at 1 MACKLEM DR, Wilmore, Kentucky 40390. Patients can reach the office at (360) 773-0106. Jordan Light has been NPI-registered since 2015.

Doctor Details

Identity & Credentials

NPI Number
1114305620
Entity Type
Individual
First Name
Jordan
Last Name
Light
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
1 MACKLEM DR
City
Wilmore
State
Kentucky
ZIP
40390-1152
Country
United States
Phone
(360) 773-0106

Specialty & Taxonomy

Primary Specialty
Specialist/Technologist - Athletic Trainer
Classification
Specialist/Technologist
Specialization
Athletic Trainer
Taxonomy Code
2255A2300X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
1 MACKLEM DR
City
WILMORE
State
KY
ZIP
403901152

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Jordan Light's NPI number?
Jordan Light's National Provider Identifier (NPI) is 1114305620. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jordan Light specialize in?
Jordan Light specializes in Specialist/Technologist - Athletic Trainer.
Where is Jordan Light located?
Jordan Light practices at 1 MACKLEM DR, Wilmore, Kentucky 40390. You can reach them by phone at (360) 773-0106.
Does Jordan Light accept Medicare?
Based on available data, Jordan Light is not currently enrolled in the Medicare program.
Does Jordan Light offer telehealth or virtual visits?
Jordan Light does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jordan Light is 1114305620.