Individual
DR. JENNIFER S. OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1162 LEXINGTON RD, GEORGETOWN, KY 40324-9330
(502) 863-6426
Mailing address
419 GENERAL JOHN PAYNE BLVD, GEORGETOWN, KY 40324-9168
(502) 868-7488
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35923
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000195006
ANTHEM
KY
01
—
1200631
UNITED HEALTH CARE
KY
05
—
64020456
—
KY
Enumeration date
08/31/2006
Last updated
04/16/2021
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