MEDICARE: JENNIFER A CAMAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	40180	KY
2	208000000X	Pediatrics Physician	40180	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000502401	OTHER	KY	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902828114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER A CAMAS MD

Provider Business Mailing Address
First Line	:	6801 OWENSBORO RD
Second Line	:
City	:	LEITCHFIELD
State	:	KY
Zip	:	42754-7752
Country	:	US
Telephone Number	:	270-230-3411
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 S MAIN ST # 101
Second Line	:
City	:	BROWNSVILLE
State	:	KY
Zip	:	42210-9001
Country	:	US
Telephone Number	:	270-975-4050
Fax Number	:	866-809-8145

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	06/22/2022

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