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JORDAN TINNELL, PA-C
PA-C
Physician Assistant
NPI: 1629522925IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
99077113A(IN)TC492(KY)10002178A(IN)PA2174(KY)
Medical Physician Assistant
Physician Assistant — Medical
Code: 363AM0700X
99077113A(IN)TC492(KY)PA2174(KY)10002178A(IN)
Surgical Physician Assistant
Physician Assistant — Surgical
Code: 363AS0400X
PA2174(KY)99077113A(IN)TC492(KY)10002178A(IN)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2016
Contact & Hours
- Address
- 4130 DUTCHMANS LN, STE 300
LOUISVILLE, KY 40207 - Phone
- (502) 897-1794
Quick Facts
- NPI
- 1629522925
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 12
- Locations
- 1
- Years in Practice
- 10
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