Individual
MS. ANGELA TE-FANG PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2507 BUSH RIDGE DR STE B, LOUISVILLE, KY 40245-5885
(502) 589-8000
(502) 589-8001
Mailing address
2507 BUSH RIDGE DR STE B, LOUISVILLE, KY 40245-5885
(502) 589-8000
(502) 589-8001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
55035
KY
208600000X
Surgery Physician
MT215390
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
55035
KY
Other
Enumeration date
03/26/2009
Last updated
07/23/2021
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