Individual
JOLENE H BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4600 SHELBYVILLE RD STE 220, LOUISVILLE, KY 40207-3398
(502) 897-7546
(502) 897-7055
Mailing address
4600 SHELBYVILLE RD STE 220, LOUISVILLE, KY 40207-3398
(502) 897-7546
(502) 897-7055
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
139
KY
Other
Enumeration date
07/18/2005
Last updated
08/18/2011
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