Individual
DR. KENNETH R JAEGERS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4121 DUTCHMANS LN, SUITE 410, LOUISVILLE, KY 40207-4707
(502) 897-9881
(502) 897-9824
Mailing address
2 RIVER HILL RD, LOUISVILLE, KY 40207-1191
(502) 896-1919
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13244
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13244
MEDICAL LICENSE
KY
05
—
6413244200
—
KY
Enumeration date
02/17/2006
Last updated
07/08/2007
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