Individual
DR. JEFFREY THOMAS JANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 THOMAS MORE PKWY, SUITE 200 A, EDGEWOOD, KY 41017-5102
(859) 341-3383
(859) 578-2013
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 341-3383
(859) 578-2013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25586
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2389464
—
OH
05
—
64255862
—
KY
Enumeration date
04/20/2006
Last updated
10/09/2018
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