NPI 1013946375

Jae Yeon Jung, MDPHD

Practitioner Dermatology Physician Louisville, KY

Practice location

Address: 3810 Springhurst Blvd STE 200, Louisville, KY 40241
Phone: (502) 583-1749
Fax: (502) 329-8184
Mailing address: PO Box 950132, Louisville, KY 40295-0132

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 49240 (KY)

Other Dermatology providers in Kentucky →

Registry record

NPI: 1013946375
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2006
Record last updated: 17 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.