Individual
MRS. JENNIFER RUTH STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C, ATC
Contact information
Practice address
201 ABRAHAM FLEXNER WAY STE 100, LOUISVILLE, KY 40202-3841
(502) 587-8222
(502) 587-0160
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2311
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300047016
—
IN
05
—
7100491200
—
KY
Enumeration date
08/28/2008
Last updated
11/06/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us