Individual
JEREMY JAMES SCOBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 BRECKENRIDGE LN STE 200, LOUISVILLE, KY 40207-5929
(502) 893-6777
(502) 899-5535
Mailing address
2700 STANLEY GAULT PKWY, SUITE 129, LOUISVILLE, KY 40223-5132
(502) 968-6979
(502) 968-5444
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34075
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1141326
PASSPORT
KY
01
—
2623
BLUE CROSS
KY
05
—
64030844
—
KY
Enumeration date
07/28/2006
Last updated
12/02/2020
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