Organization
JW MEDICAL, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB WILLIAM HARVEY JR. F.N.P. (OWNER)
(502) 386-9390
Entity
Organization
Contact information
Practice address
889 CLARKS LN, LOUISVILLE, KY 40217-2437
(502) 386-9390
Mailing address
889 CLARKS LN, LOUISVILLE, KY 40217-2437
(502) 386-9390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6597
KY
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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