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Individual

DR. JENNIFER ABBOTT HOLLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6400 DUTCHMANS PKWY, STE 250, LOUISVILLE, KY 40205-3340
(502) 587-9660
(502) 540-5615
Mailing address
6400 DUTCHMANS PKWY, STE 250, LOUISVILLE, KY 40205-3340
(502) 587-9660
(502) 540-5615

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35773
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000338280
ANTHEM
KY
01
50004625
PASSPORT
KY
05
64084221
KY
Enumeration date
06/09/2005
Last updated
08/29/2007
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