Individual
GERALD FRANCIS STURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4010 DUPONT CIR, SUITE 283, LOUISVILLE, KY 40207-4812
(502) 897-1727
(502) 895-0827
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5337
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
14203
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000074843
PASSPORT HEALTH PLAN KY
KY
01
—
000000739398
ANTHEM - KCMA
KY
01
—
129358
SIHO - KCMA
KY
01
—
4012913
AETNA
KY
01
—
50035680
PASSPORT - KCMA
KY
05
—
64142037
—
KY
Enumeration date
01/30/2007
Last updated
10/05/2022
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