Search › Kentucky › 164W00000X
Jody Fonseca
NPI 1891005955 · on the registry since 2010
Practice
- Address
- 708 Magazine St
Louisville, KY 40203 - Phone
- (502) 589-6000
- Fax
- (502) 589-8771
- Organisation at this address
- St. Matthews Pharmacy Llc
St. Matthews Pharmacy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 42
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-05-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky