JESSICA L FORTWENGLER

CRESTWOOD, KY
NPI1891934980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KY  42398)
Enumeration Date2009-02-12
Last Update Date2015-01-17
Business Address
-- JESSICA L FORTWENGLER MD
6580 KENWOOD CROSSING ROAD
CRESTWOOD, KY 40014
Phone number: 502-243-3161
Mailing Address
-- JESSICA L FORTWENGLER MD
PO BOX 950248
LOUISVILLE, KY 40295-0248
Phone number: 502-489-5730
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