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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACKIE D MAXEY, MD

Active Sole Proprietor

DR. JACKIE D MAXEY, MD is a Family Medicine healthcare provider located in LONDON, Kentucky. NPI 1073525861 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LONDON, KY

Registration Details

NPI Number
1073525861
Provider Type
Individual
Gender
Male
NPI Issued
Aug 12, 2006 (19.995275873469 yrs)
Last Updated
Aug 15, 2014
License
35548 (KY)
Sole Proprietor
Yes

Practice Information

Address
102 PROFESSIONAL DR
SUITE #2
LONDON, KY, 407418857
Browse KY providers · Browse ZIP 40741
Phone
6068789611
Fax
6068627565
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in LONDON, KY

Name Credential NPI
DR. PETER T ROCK M.D. 1053303735
DAVID J HAYS MD 1215929997
MELISSA LLENAY ZOOK M.D. 1467437293
DR. SAMUEL DUANE KREIS M.D. 1558311175
WERNER GRENTZ DO 1801842653
DR. HUBERT WAYNE WILLIAMS MD 1811912215
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.