Organization · Type 2 NPI

Jackson Ent Clinic , PSC

Otolaryngology Physician · Jackson, KY

NPI number 1831225465 Active

Practice location

1550 Highway 15 S Ste 29
Jackson, KY 41339-9221

Fax (606) 666-9982

Mailing address

PO Box 768
Jackson, KY 41339-0768

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X36227 (KY)
Otolaryngology Physician Primary 207Y00000X36227 (KY)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1831225465

Jackson Ent Clinic , PSC's National Provider Identifier is 1831225465, issued on Feb 26, 2007. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Jackson, KY. The record was last updated on Nov 14, 2008.