Walden-Fain, Jennifer Lynn

Walden-Fain, Jennifer Lynn is an individual health care provider with primary practice located at 9517 Us Highway 42 Ste 410 , Prospect KY 40059-9237. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Walden-Fain, Jennifer Lynn can be contacted via phone (502) 587-0521.

Contact Information

Primary practice address
9517 Us Highway 42 Ste 410 Prospect KY 40059-9237
Phone: (502) 587-0521
Fax: (502) 587-3893
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35020 Kentucky

Profile Details

NPI number 1841211174
LBN Legal business name Walden-Fain, Jennifer Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Dec 7th, 2021 - about 3 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 1841211174 NPPES
Kentucky Other 1841211174 NPI
Kentucky MEDICAID 64012180 NPI

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