Individual
DR. ELLYN JOY VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 ABRAHAM FLEXNER WAY STE 905, LOUISVILLE, KY 40202-3803
(502) 587-4267
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 587-4267
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TP403
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/22/2019
Last updated
03/13/2023
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