# JENNIFER BROADWATER KINGERY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366625444
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 34.015734 | OH | Yes |
| 207Q00000X | Family Medicine Physician | 03244 | KY | — |
| 207Q00000X | Family Medicine Physician | 34.015734 | OH | — |

## Other

- **Enumeration date:** 12/11/2007
- **Last updated:** 05/26/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0491937 | — | OH |
| 05 | — | 7100032100 | — | KY |