Shaun F Jennings in Lakeside Park - Internal Medicine

Shaun F Jennings - NPI 1194766253

Shaun F Jennings is a Internal Medicine in Lakeside Park, Kentucky. Shaun F Jennings practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Shaun F Jennings is 1194766253. The last update date is 2015-09-24.

Shaun F Jennings's current location address is 2300 Chamber Center Dr, Lakeside Park, Kentucky. You can contact this provider via phone number 8593842660 and fax number 8593845248. The mailing address for Shaun F Jennings is 2300 Chamber Center Dr, Lakeside Park, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Shaun F Jennings
Address 2300 Chamber Center Dr, Lakeside Park, Kentucky
Phone Number 8593842660
Fax Number 8593845248
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1194766253
Provider Enumeration Date 2006-06-09
Last Updated Date 2015-09-24

Provider Mailing Address Detail

Address 2300 Chamber Center Dr
City Lakeside Park
State Kentucky (KY)
Post Code 410171686
Phone Number 8593842660
Fax Number 8593845248

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 2882
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00217671 KY RAILROAD MEDICARE
P00873389 KY RAILROAD MEDICARE
64100167 KY --
2600528 OH --

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FAQs about Shaun F Jennings

What is the unique 10-digit identifier code issued to Shaun F Jennings by the Centers for Medicare & Medicaid Services?

The Shaun F Jennings has been assigned the NPI (National Provider Identifier) 1194766253 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Shaun F Jennings is physically located?

The Shaun F Jennings is situated at the following address: 2300 Chamber Center Dr, Lakeside Park, KY 410171686.

What is Shaun F Jennings's specialized field of practice, and what is the corresponding taxonomy classification code?

The Shaun F Jennings's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

When did the Shaun F Jennings receive its 1194766253?

The Shaun F Jennings was issued its 1194766253 on 2006-06-09, which is the date when the organization was assigned this unique identifier.

When was the information regarding Shaun F Jennings, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Shaun F Jennings, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-09-24.

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