Provider Demographics
NPI:1922240308
Name:ARMSTRONG, JAMES EDWARD
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:EDWARD
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PHYSICIANS PARK
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-4192
Mailing Address - Country:US
Mailing Address - Phone:502-223-7629
Mailing Address - Fax:502-223-7620
Practice Address - Street 1:1 PHYSICIANS PARK
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4192
Practice Address - Country:US
Practice Address - Phone:502-223-7629
Practice Address - Fax:502-223-7620
Is Sole Proprietor?:No
Enumeration Date:2009-03-31
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01086337A208600000X
KY47368208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100130830Medicaid
KYK158641Medicare PIN
KY7100130830Medicaid