Individual
CONNIE W JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 S LIMESTONE, 3RD FLOOR, LEXINGTON, KY 40536-0001
(859) 323-0303
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 257-7910
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
26686
KY
207R00000X
Internal Medicine Physician
Primary
26686
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64266869
—
KY
Enumeration date
01/22/2007
Last updated
03/29/2013
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