Individual
JASMINE NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3045 RING RD, ELIZABETHTOWN, KY 42701-7933
(270) 737-3338
(270) 765-5666
Mailing address
4612 OUTER LOOP, LOUISVILLE, KY 40219-3971
(502) 804-4811
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
07001253A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
244078
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001282
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001092707
ANTHEM
—
05
—
300004425
—
IN
Enumeration date
07/08/2015
Last updated
07/15/2021
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