Individual
JESSICA D DOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
Mailing address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34201
KY
207QB0002X
Obesity Medicine (Family Medicine) Physician
34201
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000381955
ANTHEM FOR NICC
KY
01
—
000000664907
ANTHEM BC/BS
KY
01
—
021504
SIHO - NICC
—
01
—
50027740
PASSPORT
KY
05
—
64342017
—
KY
01
—
P00415228
RAILROAD MEDICARE
KY
Enumeration date
04/19/2006
Last updated
03/07/2023
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