Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN M EDELEN, PAC
ActiveJORDAN M EDELEN, PAC is a Physician Assistant healthcare provider located in LOUISVILLE, Kentucky. NPI 1851764807 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LOUISVILLE, KY
Registration Details
- NPI Number
- 1851764807
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 12, 2015 (10.712759292157 yrs)
- Last Updated
- Mar 20, 2018
- License
-
PA2072 (KY)
Practice Information
- Address
-
908 DUPONT RDLOUISVILLE, KY, 402074602Browse KY providers · Browse ZIP 40207
- Phone
- 5027497909
- Fax
- 5027499397
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| MELISSA DAWN EDDS | PA-C | 1578566600 |
| MR. JAMES SCOTT GAGEL | PA | 1073518262 |
| MICHAEL E GILBERT | PA-C | 1265438550 |
| CANDY SUE FISCHBACH | PA-C | 1992703383 |
| KIRK A FOUGNIE | PA-C | 1295734747 |
| MRS. TRACEY GREGORY MAYNOR | PAC | 1043219520 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.