Individual
JEROLD N FRIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 E MAXWELL ST, STE 200, LEXINGTON, KY 40508
(859) 253-0124
(859) 231-8667
Mailing address
125 E MAXWELL ST, STE 200, LEXINGTON, KY 40508
(859) 253-0124
(859) 231-8667
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16784
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64167844
—
KY
Enumeration date
04/28/2006
Last updated
05/05/2008
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