Individual
MRS. JAMIE MICHELLE FURLONG-DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-6000
(502) 629-5865
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 975-2220
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04288
KY
208000000X
Pediatrics Physician
9394945-1204
UT
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
04288
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300015011
—
IN
05
—
7100550520
—
KY
01
—
K250851
MEDICARE
KY
Enumeration date
04/03/2012
Last updated
02/09/2026
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