Healthcare Provider Details

I. General information

NPI: 1114332749
Provider Name (Legal Business Name): KARA JO SWAFFORD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2014
Last Update Date: 04/28/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST UNIVERSITY OF KENTUCKY
LEXINGTON KY
40536-0001
US

IV. Provider business mailing address

740 S LIMESTONE RM L445 UNIVERSITY OF KENTUCKY DEPARTMENT OF NEUROLOGY
LEXINGTON KY
40536-0001
US

V. Phone/Fax

Practice location:
  • Phone: 859-218-5038
  • Fax:
Mailing address:
  • Phone: 859-218-5038
  • Fax: 859-257-0754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberR3638
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number51119
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: