Most Relevant Information
Provider Data
| NPI Number: | 1003272261 |
| Provider Name: | KAELIN JANSEN APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 3009990 |
Most Important Dates
| Enumeration Date: | 01/04/2016 |
| Last Updated: | 04/22/2020 |
Provider Practice Location
802 OVERHILL DR
BUSINESS OFFICE
SHEPHERDSVILLE
KY
401657252
Practice Location Phone/Fax
| Phone: | 5025439124 |
| Fax: | 5025430844 |
Provider Mailing Location
PO BOX 950151
LOUISVILLE
KY
402950151
Provider Mailing Phone/Fax
| Phone: | 5025439124 |
| Fax: | 5025430844 |