Maple, Jennifer Kay

Maple, Jennifer Kay is an sole proprietor health care provider with primary practice located at 60 Stonecrest Ct Suite 200, Shelbyville KY 40065-8155. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is her primary health care specialty. Maple, Jennifer Kay can be contacted via phone (502) 633-1819.

Contact Information

Primary practice address
60 Stonecrest Ct Suite 200 Shelbyville KY 40065-8155
Phone: (502) 633-1819
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8022 Kentucky
Dental Providers / Dentist 122300000X 8022 Kentucky

Profile Details

NPI number 1205125796
LBN Legal business name Maple, Jennifer Kay
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2011
Last updated Sep 17th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205125796 NPPES
Kentucky MEDICAID 60002854

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