Ordaz, Fernando Edmund

Ordaz, Fernando Edmund is an individual health care provider with primary practice located at 289 Ireland Ave , Fort Knox KY 40121-5111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ordaz, Fernando Edmund can be contacted via phone (502) 244-2204.

Contact Information

Primary practice address
289 Ireland Ave Fort Knox KY 40121-5111
Phone: (502) 244-2204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25261 Kentucky

Profile Details

NPI number 1568446342
LBN Legal business name Ordaz, Fernando Edmund
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568446342 NPPES
Kentucky MEDICAID 64252612

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