Provider Demographics
NPI:1932882446
Name:JAEGER, KARA MCKENZIE (PA-C)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:MCKENZIE
Last Name:JAEGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5314 DELHI RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-5390
Mailing Address - Country:US
Mailing Address - Phone:513-347-6922
Mailing Address - Fax:513-347-6955
Practice Address - Street 1:5314 DELHI RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-5390
Practice Address - Country:US
Practice Address - Phone:513-347-6922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH363A00000X
OH50.008325RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant