Individual
JEEVANJOT KAUR VIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11600 MAIN ST, LOUISVILLE, KY 40243-1318
(347) 387-0144
Mailing address
11600 MAIN ST, LOUISVILLE, KY 40243-1318
(347) 387-0144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55409
KY
Other
Enumeration date
01/23/2018
Last updated
07/05/2021
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