JERRY CLANTON NPI 1881697449

NPI Information

NPI: 1881697449
Provider Name: JERRY CLANTON
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
4001 DUTCHMANS LN
STE 5C
LOUISVILLE, KY
ZIP 40207
Phone: (502) 897-9594
Get Directions

Jerry Clanton is a specialist in Louisville, KY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jerry Clanton NPI is 1881697449. 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:

4001 DUTCHMANS LN
STE 5C
LOUISVILLE, KY
ZIP 40207-737
Phone: (502) 897-9594

The enumeration date for this NPI number is 5/27/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		16385	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	64163850	MEDICAID	KENTUCKY
2	0075401	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
3	C67802	MEDICARE UPIN	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »