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Individual

JESSICA LYNN SCHUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11213 BEARCAMP RD, LOUISVILLE, KY 40272-1913
(502) 338-1370
(502) 337-3149
Mailing address
11213 BEARCAMP RD, LOUISVILLE, KY 40272-1913
(502) 338-1370
(502) 337-3149

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47960
KY
246ZS0410X
Surgical Technologist
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100248360
KY
Enumeration date
02/02/2009
Last updated
06/17/2022
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