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Individual

JENNIFER B KINGERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
191 W UNION ST STE 127, ATHENS, OH 45701-2732
(740) 592-7010
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
03244
KY
207Q00000X
Family Medicine Physician
Primary
34.015734
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100032100
KY
Enumeration date
12/11/2007
Last updated
08/07/2023
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