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Individual

JENNIFER HOWARD STIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9702 STONESTREET RD, STE 100, LOUISVILLE, KY 40272-6809
(502) 588-0610
(502) 588-0611
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0610
(502) 588-0611

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47332
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201233280
IN
05
7100301630
KY
Enumeration date
04/22/2011
Last updated
01/22/2021
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