Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON PHYSICIAN CORP
Active OrganizationJACKSON PHYSICIAN CORP is a Pediatric Urology organization located in JACKSON, Kentucky. NPI 1023219425 is currently active in the NPPES registry. Verify at CMS.
Pediatric Urology · JACKSON, KY
Registration Details
- NPI Number
- 1023219425
- Provider Type
- Organization
- NPI Issued
- May 31, 2007 (19.224092643532 yrs)
- Last Updated
- Aug 22, 2020
- License
-
25492 (KY)
Practice Information
- Address
-
1550 HIGHWAY 15 S STE 27JACKSON, KY, 413398604Browse KY providers · Browse ZIP 41339
- Phone
- 6066930116
- Fax
- 6066930118
- Primary Specialty
-
Pediatric Urology
2088P0231X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.