Individual
ANGELENA B. EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3999 DUTCHMANS LN STE 6F, LOUISVILLE, KY 40207-4724
(502) 559-1670
(502) 349-1999
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MD-47279
IA
2088P0231X
Pediatric Urology Physician
Primary
59770
KY
2088P0231X
Pediatric Urology Physician
MD-47279
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073856860
—
KY
Enumeration date
04/01/2013
Last updated
07/23/2024
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