DR. Jordan Tyler Deangelis, DO is a student in an organized health care education training program in Lexington, KY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jordan Tyler Deangelis, DO NPI is 1881273399. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2195 HARRODSBURG RD
LEXINGTON, KY
ZIP 40504-516
Phone: (859) 323-5000
The NPI 1881273399 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/3/2021 and was last updated on 4/3/2021.