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Individual

DR. JENNIFER L LILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9 S MAIN ST, HENDERSON, KY 42420-3121
(270) 212-1447
(270) 212-1388
Mailing address
9 S MAIN ST, HENDERSON, KY 42420-3121
(270) 212-1447
(270) 212-1388

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
44661
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100182130
KY
Enumeration date
07/02/2008
Last updated
02/02/2026
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