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Individual

JENNIFER ANN SPATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4 PHYSICIANS PARK, FRANKFORT, KY 40601-4181
(502) 223-8400
(502) 875-3073
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5337

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40742
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201080550
IN
05
7100031050
KY
Enumeration date
04/23/2007
Last updated
01/22/2021
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