Jackson Physician Corp
Jackson Physician Corp is a Pediatric Urology Physician in Jackson, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.
- Licensed in
- KY
- In the registry since
- 2007
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1550 Highway 15 S Ste 27Jackson, KY 41339-8604
Phone: (606) 693-0116
Fax: (606) 693-0118
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Urology Physician (primary) | Taxonomy 2088P0231X · Licence 25492 (KY) |
|---|
Record details
| NPI number | 1023219425 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Loretta Campbell — Clinic Coordinator · (606) 693-0531 |
| Other names | Dba Jackson Urology |
| NPI enumerated | May 31, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 790, Jackson, KY 41339-0790 |