Dr. Jennifer S. Wentworth
Ophthalmologist
484 Golden Autumn Way Ste 201
Bowling Green
, Kentucky 42103-6914
Dr. Jennifer S. Wentworth
Ophthalmologist
484 Golden Autumn Way Ste 201
Bowling Green
, Kentucky 42103-6914
(270) 781-5111
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Jennifer S. Wentworth
- 201 Park St
- Bowling Green, KY
- Zip : 42101-1708
- Phone : (270) 781-5111
Second Address
- Dr. Jennifer S. Wentworth
- 484 Golden Autumn Way Ste 201
- Bowling Green, KY
- Zip : 42103-6914
- Fax : (270) 780-0465
- Phone : (270) 780-2494
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 26616 | KY |
National Provider Identifier
| NPI | 1033115431 |
|---|---|
| Provider Name | Dr. Jennifer S. Wentworth |
| First Address | Bowling Green, KY 42101-1708 |
| Second Address | Bowling Green, KY 42103-6914 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2005 |
| Last Update Date | 10/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 64266166 | (05) | KY |
| E67761 | (02) | KY |
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.