Provider Demographics
NPI:1508649187
Name:FELKINS, JILL MCKEOWN
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:MCKEOWN
Last Name:FELKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 WHITTINGTON PKWY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4927
Mailing Address - Country:US
Mailing Address - Phone:502-432-5060
Mailing Address - Fax:
Practice Address - Street 1:310 WHITTINGTON PKWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4927
Practice Address - Country:US
Practice Address - Phone:502-432-5060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator