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Contact Information

STACEY E MERRITT JENNEY, MD
6200 DUTCHMANS LN
LOUISVILLE, KY40205-3271
 Phone: 502-456-6200
 Fax: 502-456-6655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Hospice and Palliative Medicine

207PH0002X 17 Physician/Hospice and Palliative Care
Indicates primary specialty

NPI Profile & details for STACEY E MERRITT JENNEY · (Female)

NPI Number 1467568741
Status Active
Credentials MD
Entity Individual
Enumeration date 08/21/2006
Last updated 02/02/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 01041029A
  • KY License # 28829
  • IN Medicaid 200009620
  • KY Medicaid 64018880
  • KY Other 000000185657 ANTHEM
  • KY Other 1124516 PASSPORT
  • KY Other 2437324000 PASSPORT ADVANTAGE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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