Individual
DR. CHESTER DARRELL JENNINGS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, MS117, LEXINGTON, KY 40536-0298
(859) 257-1446
(859) 257-7572
Mailing address
800 ROSE ST # MS 117, LEXINGTON, KY 40536-0298
(859) 323-5425
Taxonomy
Speciality
Code
Description
License number
State
207ZI0100X
Immunopathology Physician
19601
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19601
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64196017
—
KY
Enumeration date
04/19/2006
Last updated
05/28/2019
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