Organization
HAMBURG GASTROENTEROLOGY, PLLC
Active
Organization
HAMBURG GASTROENTEROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN S JENNINGS-CONKLIN MD (GASTROENTEROLOGIST OWNER)
(859) 543-1777
Entity
Organization
Contact information
Practice address
1795 ALYSHEBA WAY, SUITE 1003, LEXINGTON, KY 40509
(859) 543-1777
(859) 543-1776
Mailing address
1795 ALYSHEBA WAY, SUITE 1003, LEXINGTON, KY 40509
(859) 543-1777
(859) 543-1776
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
34156
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000362844
ANTHEM
—
05
—
64066822
—
KY
01
—
P00231447
RR MEDICARE
—
Enumeration date
11/17/2006
Last updated
05/28/2009
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