Individual
ANNE M FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4420 DIXIE HWY STE 114, LOUISVILLE, KY 40216-2986
(502) 449-6464
(502) 449-6465
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41455
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200884680
—
IN
Enumeration date
05/11/2006
Last updated
05/23/2022
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