Provider Demographics
NPI:1104092600
Name:JEFFRIES, FELICIA D (KCFA)
Entity type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:D
Last Name:JEFFRIES
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Gender:F
Credentials:KCFA
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Mailing Address - Street 1:1000 BRECKENRIDGE ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-0839
Mailing Address - Country:US
Mailing Address - Phone:270-852-8894
Mailing Address - Fax:270-852-8897
Practice Address - Street 1:1000 BRECKENRIDGE ST
Practice Address - Street 2:SUITE 301
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-0839
Practice Address - Country:US
Practice Address - Phone:270-852-8894
Practice Address - Fax:270-852-8897
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2010-12-06
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Provider Licenses
StateLicense IDTaxonomies
KYSA019246XC2901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2901XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularCardiovascular Invasive Specialist