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Contact Information

JONATHAN M FEDDOCK, MD
800 ROSE STREET HQ-101
LEXINGTON, KY40536-0293
 Phone: 859-229-2726
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for JONATHAN M FEDDOCK · (Male)

NPI # 1164685012
Status Active
Credentials MD
Entity Individual
Enumeration date 07/09/2008
Last updated 07/09/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # R1669
Hospital affiliation(s)
  • CENTRAL BAPTIST HOSPITAL - (Acute Care)
    1740 NICHOLASVILLE ROAD
    LEXINGTON, KY 40503
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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