Jaenicke, Kurt

Jaenicke, Kurt is an sole proprietor health care provider with primary practice located at 412 N Lock Ave , Louisa KY 41230-1115. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Jaenicke, Kurt can be contacted via phone (606) 638-4595.

Contact Information

Primary practice address
412 N Lock Ave Louisa KY 41230-1115
Phone: (606) 638-4595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 31309 Kentucky
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 31309 Kentucky
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 16950 West Virginia
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 16950 West Virginia

Profile Details

NPI number 1073671673
LBN Legal business name Jaenicke, Kurt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Apr 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073671673 NPPES
Ohio MEDICAID 0163719
Ohio Other 000000583794
Ohio MEDICAID 64313091
Ohio Other 000000510048

Popular Providers