Jeri Petty Irwin in Louisville - Diagnostic Radiology

Jeri Petty Irwin - NPI 1639131774

Jeri Petty Irwin is a Diagnostic Radiology in Louisville, Kentucky. Jeri Petty Irwin practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jeri Petty Irwin is 1639131774. The last update date is 2007-10-18.

Jeri Petty Irwin's current location address is 1108 Dupont Cir, Louisville, Kentucky. You can contact this provider via phone number 5028970139. The mailing address for Jeri Petty Irwin is 1108 Dupont Cir, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeri Petty Irwin
Address 1108 Dupont Cir, Louisville, Kentucky
Phone Number 5028970139
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1639131774
Provider Enumeration Date 2006-04-04
Last Updated Date 2007-10-18

Provider Mailing Address Detail

Address 1108 Dupont Cir
City Louisville
State Kentucky (KY)
Post Code 402074804
Phone Number 5028970139
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 19791
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
64197916 KY --

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FAQs about Jeri Petty Irwin

What is the unique identifier code issued to Jeri Petty Irwin by the Centers for Medicare & Medicaid Services?

The Jeri Petty Irwin has been assigned the NPI (National Provider Identifier) 1639131774. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jeri Petty Irwin is physically located?

The Jeri Petty Irwin is physically situated at the following address: 1108 Dupont Cir, Louisville, KY, 402074804.

What is Jeri Petty Irwin's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jeri Petty Irwin's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.

When was the Jeri Petty Irwin's 1639131774 issued?

The Jeri Petty Irwin's 1639131774 was issued on 2006-04-04.

When was the information pertaining to Jeri Petty Irwin most recently updated or revised?

The details related to Jeri Petty Irwin, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-18.

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