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Individual

JACKSON BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11701 BLUEGRASS PKWY STE 200, LOUISVILLE, KY 40299-2302
(502) 245-4168
(502) 244-4054
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(859) 253-4924
(502) 489-5750

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59331
KY
207RC0000X
Cardiovascular Disease Physician
TP188
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/29/2021
Last updated
03/12/2026
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