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Jessica L Fortwengler, MD
Family Medicine Physician in Crestwood, Kentucky
NPI 1891934980

Jessica L Fortwengler is a Family Medicine Physician based in Louisville, KY. Jessica L Fortwengler practices in Crestwood, KY and has the professional credentials of MD. The NPI Number for Jessica L Fortwengler is 1891934980 and holds a License No. 42398 (Kentucky).

The current practice location address for Jessica L Fortwengler is 6580 Kenwood Crossing Road, Crestwood, KY and can be reached out via phone at 502-243-3161 and via fax at 502-243-3164.

Location: 6580 Kenwood Crossing Road, Crestwood, KY, 40295-0248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891934980
Provider Name
Jessica L Fortwengler
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6580 Kenwood Crossing Road, Crestwood, KY, 40295-0248
Phone Number
502-243-3161
Fax Number
502-243-3164
Provider Enumeration Date
02/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000650401 01 KY ANTHEM
50027705 01 KY PASSPORT
7100104670 05 KY
P00854282 01 KY RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
6580 Kenwood Crossing Road
City
Crestwood
State
Kentucky
Zip
40014
Phone Number
502-243-3161
Fax Number
502-243-3164
person
Provider Business Mailing Address Details
Address
6580 Kenwood Crossing Road
City
Crestwood
State
Kentucky
Zip
40014
Phone Number
502-243-3161
Fax Number
502-243-3164
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
42398 (Kentucky)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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