Individual
JEFFREY L WAMPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 BLANKENBAKER PKWY, SUITE 200, LOUISVILLE, KY 40243-1882
(502) 244-6373
(502) 244-9860
Mailing address
400 BLANKENBAKER PKWY, SUITE 200, LOUISVILLE, KY 40243-1882
(502) 244-6373
(502) 244-9860
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21447
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64214471
—
KY
Enumeration date
07/26/2006
Last updated
07/08/2007
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