Individual
JENNIFER RENE OLGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST, SUITE 370, LOUISVILLE, KY 40202-5700
(502) 588-4500
Mailing address
401 E CHESTNUT ST, SUITE 370, LOUISVILLE, KY 40202-5700
(502) 588-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036131949
IL
207R00000X
Internal Medicine Physician
Primary
48919
KY
208000000X
Pediatrics Physician
036131949
IL
208000000X
Pediatrics Physician
48919
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100408840
—
KY
Enumeration date
04/15/2009
Last updated
01/19/2017
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