person
Jenna Leigh Dismore Wrinkles, MD
Pain Medicine (Anesthesiology) Physician in Elizabethtown, Kentucky
NPI 1780909952

Jenna Leigh Dismore Wrinkles is a Pain Medicine (Anesthesiology) Physician based in Belfast, KY and is specialized in Pain Medicine. Jenna Leigh Dismore Wrinkles practices in Elizabethtown, KY and has the professional credentials of MD. The NPI Number for Jenna Leigh Dismore Wrinkles is 1780909952 and holds a License No. 01075865A (Kentucky).

The current practice location address for Jenna Leigh Dismore Wrinkles is 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY and can be reached out via phone at 270-506-3300 and via fax at 270-506-2843. You can also correspond with Jenna Leigh Dismore Wrinkles through the mailing address at PO BOX 21890, BELFAST, ME - 04915-4115 (mailing address contact number: 502-907-0356).

Location: 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY, 04915-4115
person
Provider Profile Details
NPI Number
1780909952
Provider Name
Jenna Leigh Dismore Wrinkles
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1107 Crown Pointe Dr Ste 107, Elizabethtown, KY, 04915-4115
Phone Number
270-506-3300
Fax Number
270-506-2843
Provider Enumeration Date
03/31/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01957674 01 IN RAILROAD MEDICARE
1232438 01 KY WELLCARE OF KY PROVIDER ID NUMBER
201317930 05 IN
P01590218 01 KY RAILROAD MEDICARE
5661958 01 AETNA PIN
CS1612000141 01 CARESOURCE ID
005625439 01 UNITED HEALTHCARE PROVIDER ID NUMBER
000000963791 01 ANTHEM PIN
339847KYIP 01 KY AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
2355628 01 CIGNA PROVIDER ID NUMBER
7100167720 05 KY
institution
Provider Business Practice Location Address Details
Address
1107 Crown Pointe Dr Ste 107
City
State
Zip
42701-7280
Phone Number
270-506-3300
Fax Number
270-506-2843
person
Provider Business Mailing Address Details
Address
Po Box 21890
City
State
Zip
04915-4115
Phone Number
502-907-0356
Fax Number
502-919-9780
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Pain Medicine
Taxonomy
License No.
01075865A (Indiana)
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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