Individual
ANGELA LOUISE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3346 PROFESSIONAL PARK DR, OWENSBORO, KY 42303-4551
(270) 685-1066
(270) 685-0881
Mailing address
3346 PROFESSIONAL PARK DR, OWENSBORO, KY 42303-4551
(270) 685-1066
(270) 685-0881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17933
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64179336
—
KY
Enumeration date
07/01/2005
Last updated
03/24/2021
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