Individual
MRS. JENNIFER BANNISTER MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
617 23RD ST STE 8B, ASHLAND, KY 41101-2845
(606) 408-1290
(606) 408-6640
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-9571
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
R5155
KY
208VP0014X
Interventional Pain Medicine Physician
Primary
05533
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
07/24/2024
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