Individual
KAELIN JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
802 OVERHILL DR, BUSINESS OFFICE, SHEPHERDSVILLE, KY 40165-7252
(502) 543-9124
(502) 543-0844
Mailing address
PO BOX 950151, LOUISVILLE, KY 40295-0151
(502) 543-9124
(502) 543-0844
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009990
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100408550
—
KY
Enumeration date
01/04/2016
Last updated
04/22/2020
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