Provider Demographics
NPI:1912018532
Name:FREES, JENNIFER CHRISTINE (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:CHRISTINE
Last Name:FREES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 ALEXANDRIA PIKE
Mailing Address - Street 2:SUITE E
Mailing Address - City:COLD SPRING
Mailing Address - State:KY
Mailing Address - Zip Code:41076-3530
Mailing Address - Country:US
Mailing Address - Phone:859-442-7200
Mailing Address - Fax:859-442-7555
Practice Address - Street 1:4200 ALEXANDRIA PIKE
Practice Address - Street 2:SUITE E
Practice Address - City:COLD SPRING
Practice Address - State:KY
Practice Address - Zip Code:41076-3530
Practice Address - Country:US
Practice Address - Phone:859-442-7200
Practice Address - Fax:859-442-7555
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5009111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor