Individual
AMMAR AL JAJEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E CHESTNUT ST, STE. 303, LOUISVILLE, KY 40202-1831
(502) 629-5552
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46750
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201220050
—
IN
05
—
7100282100
—
KY
Enumeration date
07/27/2010
Last updated
08/22/2024
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