Dr. Jae Yeon Jung
Dermatologist
3810 Springhurst Blvd Ste 200
Louisville
, Kentucky 40241
Dr. Jae Yeon Jung
Dermatologist
3810 Springhurst Blvd Ste 200
Louisville
, Kentucky 40241
(888) 980-8992
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Jae Yeon Jung
- Po Box 950132
- Louisville, KY
- Zip : 40295-0132
- Phone : (888) 980-8992
Second Address
- Dr. Jae Yeon Jung
- 3810 Springhurst Blvd Ste 200
- Louisville, KY
- Zip : 40241
- Fax : (502) 329-8184
- Phone : (502) 583-1749
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 49240 | KY |
National Provider Identifier
| NPI | 1013946375 |
|---|---|
| Provider Name | Dr. Jae Yeon Jung |
| First Address | Louisville, KY 40295-0132 |
| Second Address | Louisville, KY 40241 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 17/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.