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Individual

JENNIFER D HUFFSTICKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 587-4421
(502) 587-4840
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
40548
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000057678
ANTHEM
KY
05
200851110
IN
01
2711328000
PASSPORT ADVANTAGE
KY
01
50010462
PASSPORT
KY
05
64097223
KY
01
P00318034
RAILROAD MEDICARE
KY
Enumeration date
05/23/2006
Last updated
11/17/2020
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