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Individual

MS. JESSICA HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
3408 SQUIRE OAK DR, LEXINGTON, KY 40515-1338
(270) 535-2831
Mailing address
3408 SQUIRE OAK DR, LEXINGTON, KY 40515-1338
(270) 535-2831

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R2948
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184983819
KY
Enumeration date
05/15/2012
Last updated
07/15/2014
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