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 Family Medicine organization located in BOONEVILLE, Kentucky. NPI 1134261167 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BOONEVILLE, KY
Registration Details
- NPI Number
- 1134261167
- Provider Type
- Organization
- NPI Issued
- Feb 13, 2007 (19.313697105333 yrs)
- Last Updated
- Aug 22, 2020
- License
-
02940 (KY)
Practice Information
- Address
-
HWY 11 SOUTHBOONEVILLE, KY, 413149621Browse KY providers · Browse ZIP 41314
- Phone
- 6066930531
- Fax
- 6066930535
- Primary Specialty
-
Family Medicine
207Q00000X
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.