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JERMAINE ASH-SHAHEED ALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2225 W BROADWAY, LOUISVILLE, KY 40211-1003
(502) 589-8910
(502) 772-2084
Mailing address
2225 W BROADWAY, LOUISVILLE, KY 40211-1003
(502) 589-8910
(502) 772-2084

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
44386
KY

Other

Enumeration date
04/08/2008
Last updated
11/11/2013
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