Individual
JENNIFER MARIE SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4123 DUTCHMANS LN STE 300, LOUISVILLE, KY 40207-4721
(502) 559-9337
(502) 272-5339
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9337
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
56956
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100844920
—
IN
05
—
7100844920
—
KY
01
—
K404880
MEDICARE
KY
Enumeration date
04/23/2018
Last updated
01/31/2025
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