Individual
EDITH R JARBOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4121 DUTCHMANS LN, STE. 503, LOUISVILLE, KY 40207-4707
(502) 899-6782
(502) 899-6783
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 969-6552
(502) 212-1358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34775
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64912702
—
KY
Enumeration date
04/18/2006
Last updated
11/01/2007
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