Liles, Jennifer L

Liles, Jennifer L is an individual health care provider with primary practice located at 110 N Water St , Henderson KY 42420-3142. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Liles, Jennifer L can be contacted via phone (270) 212-1447.

Contact Information

Primary practice address
110 N Water St Henderson KY 42420-3142
Phone: (270) 212-1447
Fax: (270) 212-1388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 44661 Kentucky

Profile Details

NPI number 1952563751
LBN Legal business name Liles, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Feb 15th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952563751 NPPES
Kentucky MEDICAID 7100182130

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