Individual
DR. JAMES ROBERT JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4001 KRESGE WAY, 236, LOUISVILLE, KY 40207-4640
(502) 895-6588
(502) 893-6587
Mailing address
4001 KRESGE WAY, 236, LOUISVILLE, KY 40207-4640
(502) 895-6588
(502) 893-6587
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20325
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64203250
—
KY
Enumeration date
07/25/2006
Last updated
07/08/2007
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