JACKSON PHYSICIAN CORP
Organization (NPI-2)
Active
Urology, Pediatric Urology
Provider Information
- NPI Number
1023219425- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1550 HIGHWAY 15 S STE 27, JACKSON, KY, 413398604
- Phone
- (606) 693-0116
- Fax
- (606) 693-0118
Specialties & Taxonomies
Urology, Pediatric Urology
Primary License: KY #25492