Individual
JENNIFER FENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 LEXINGTON CT, COX'S CREEK, KY 40013
(502) 507-9420
Mailing address
100 LEXINGTON CT, COX'S CREEK, KY 40013
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
A5767
KY
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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