Organization
JEFFERSOTOWN FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE C ENGLEMAN O (BUSINESS MANGER)
(502) 267-5456
Entity
Organization
Contact information
Practice address
10216 TAYLORSVILLE RD, SUITE#400, LOUISVILLE, KY 40299-3616
(502) 267-5456
(502) 240-5610
Mailing address
10216 TAYLORSVILLE RD, SUITE#400, LOUISVILLE, KY 40299-3616
(502) 267-5456
(502) 240-5610
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
12/02/2008
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