Organization · Type 2 NPI
Jackson Physician Corp
Pediatric Urology Physician · Jackson, KY
Practice location
1550 Highway 15 S Ste 27
Jackson, KY 41339-8604
Fax (606) 693-0118
Mailing address
PO Box 790
Jackson, KY 41339-0790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Urology Physician Primary | 2088P0231X | 25492 (KY) |
Pediatric Urology Physician: Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical r…
About NPI 1023219425
Jackson Physician Corp's National Provider Identifier is 1023219425, issued on May 31, 2007. The primary taxonomy on file is Pediatric Urology Physician (2088P0231X), and the practice location is in Jackson, KY. The record was last updated on Aug 22, 2020.