Provider Demographics
NPI:1164792511
Name:ALFORD, JONATHAN D (DVM)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:D
Last Name:ALFORD
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 US HIGHWAY 27 N
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:KY
Mailing Address - Zip Code:40484-1054
Mailing Address - Country:US
Mailing Address - Phone:606-365-7660
Mailing Address - Fax:606-365-7654
Practice Address - Street 1:850 US HIGHWAY 27 N
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:KY
Practice Address - Zip Code:40484-1054
Practice Address - Country:US
Practice Address - Phone:606-365-7660
Practice Address - Fax:606-365-7654
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3788174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian