Individual
PETER JAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 301-2000
Mailing address
6220 LOWER TUG FORK RD, MELBOURNE, KY 41059-8266
(859) 750-7323
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3011367
KY
363LF0000X
Family Nurse Practitioner
Primary
3011367
KY
Other
Enumeration date
04/24/2018
Last updated
08/18/2018
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