Individual
DR. LELAND DAVID JOLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11231 NUTWOOD RD, LOUISVILLE, KY 40223-1335
(502) 939-5624
Mailing address
11231 NUTWOOD RD, LOUISVILLE, KY 40223-1335
(502) 939-5624
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27790
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300015156
MEDICARE RAILROAD
GA
05
—
64277908
—
KY
Enumeration date
06/08/2006
Last updated
03/05/2026
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