Individual
JENNIFER BENGE EMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
427 US 31W BYP STE 202, BOWLING GREEN, KY 42101-1703
(270) 796-6160
(270) 904-5774
Mailing address
4612 OUTER LOOP, LOUISVILLE, KY 40219-3971
(502) 804-4811
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
244139
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
244139
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001030969
ANTHEM
KY
05
—
7100053150
—
KY
01
—
P01709763
RAILROAD MEDICARE
KY
Enumeration date
05/12/2008
Last updated
07/15/2021
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