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1164685012
JONATHAN MICHAEL FEDDOCK
LEXINGTON, KY
NPI
1164685012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: KY R1669)
Enumeration Date
2008-07-09
Last Update Date
2008-07-09
Business Address
Dr. JONATHAN MICHAEL FEDDOCK MD
800 ROSE STREET HQ-101
LEXINGTON, KY 40536-0293
Phone number: 859-229-2726
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Mailing Address
Dr. JONATHAN MICHAEL FEDDOCK MD
4560 WINDSTAR WAY
LEXINGTON, KY 40515-4818
Phone number: 859-229-2726
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