Individual
DR. ANGELA MICHELLE JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
411 E CHESTNUT ST # 5B, LOUISVILLE, KY 40202-1713
(502) 588-2330
(502) 588-9513
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
39805
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200957710
—
IN
05
—
7100063520
—
KY
Enumeration date
02/01/2007
Last updated
01/24/2024
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