Individual
JORDAN KIRCHGESSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7364
(502) 568-7136
Mailing address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
(502) 361-6707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009452
KY
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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