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Individual

DR. JENNIFER S. RIEBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1162 LEXINGTON RD, GEORGETOWN, KY 40324-9330
(502) 863-6426
Mailing address
2913 FRANKFORT RD, GEORGETOWN, KY 40324-9146
(502) 867-1305

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29729
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000049849
ANTHEM
KY
01
1200220
UNITED HEALTH CARE
KY
01
4649312
AETNA
KY
01
611215814
BLUEGRASS FAMILY HEALTH
KY
05
64297294
KY
Enumeration date
08/31/2006
Last updated
04/16/2021
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