Jackson Physician Corp

Organization Active
NPI 1023219425
Pediatric Urology Physician Jackson, KY

NPI 1023219425 belongs to Jackson Physician Corp, a pediatric urology physician with a practice location in Jackson, KY. The NPI was issued on May 31, 2007, and the record was last updated in NPPES on August 22, 2020.

This record hasn't been updated in NPPES since 2020. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Urology Physician Primary 2088P0231X 25492 (KY)

Practice location

1550 Highway 15 S Ste 27
Jackson, KY 41339-8604
Phone: (606) 693-0116

Local context

Active NPPES records list 1 provider with pediatric urology physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 11 in Kentucky and 664 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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