Individual
JENNIFER M BREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3999 DUTCHMANS LN, SUITE 6F, LOUISVILLE, KY 40207-4729
(502) 394-5678
(502) 394-5600
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
44553
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000729177
ANTHEM - COOL
KY
01
—
000057121QD
HUMANA - COOL
KY
01
—
128185
SIHO - COOL
KY
05
—
201034640
—
IN
01
—
50036336
PASSPORT - COOL
KY
05
—
7100176450
—
KY
Enumeration date
07/07/2008
Last updated
01/12/2021
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