Organization · Type 2 NPI
Jackson Healthcare
General Practice Physician · Shelbyville, KY
NPI number
1639359565
Active
Practice location
148 Midland Blvd
Shelbyville, KY 40065-9734
Fax (502) 647-1940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 18425 (KY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1639359565
Jackson Healthcare's National Provider Identifier is 1639359565, issued on Nov 8, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Shelbyville, KY. The record was last updated on Nov 8, 2007.