Individual
DR. JO YVETTE PELFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5678 FAR HILLS AVE, KETTERING, OH 45429-2206
(937) 434-4323
(937) 434-4541
Mailing address
5678 FAR HILLS AVE, KETTERING, OH 45429-2206
(937) 434-4323
(937) 434-4541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35054725
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000015667
ANTHEM
OH
05
—
0702663
—
OH
Enumeration date
08/02/2005
Last updated
02/23/2010
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