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Contact Information

JORDAN R MUDD
2022 BATTERY PARK DR
GLENDALE, KY42740-8800
 Phone: 859-314-3670
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Health

163WX0106X
Indicates primary specialty

NPI Profile & details for JORDAN R MUDD · (Male)

NPI # 1356210926
Status Active
Credentials
Entity Individual
Enumeration date 11/03/2025
Last updated 11/07/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 1141347
Hospital affiliation(s) Not Available
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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