Individual
ELIZABETH JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
2710 TRUMPETVINE RD, LOUISVILLE, KY 40220-5602
(502) 292-7676
Mailing address
3024 LEMAN DR, LOUISVILLE, KY 40220-2524
(502) 292-7676
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA269
KY
247200000X
Other Technician
SA269
KY
Other
Enumeration date
07/02/2014
Last updated
02/22/2021
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