JACKSON WOMENS CARE, Gynecology JACKSON, KY

Contact Information

JACKSON WOMENS CARE

540 JETT DR
JACKSON, KY 41339-9622

Phone: 606-666-6240
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gynecology	207VG0400X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for JACKSON WOMENS CARE · (Female)

NPI Number	`1114134814`
Status	Active
Credentials
Entity	Individual
Enumeration date	05/16/2007
Last updated	08/22/2020 - About 6 years ago
Sole proprietor ¹	Not specified
Identifiers	KY License # 21623 KY Medicaid 65926974
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JACKSON WOMENS CAREGynecology

Contact Information

Specialty

Gynecology

NPI Profile & details for JACKSON WOMENS CARE · (Female)

Reviews for JACKSON WOMENS CARE

JACKSON WOMENS CARE
Gynecology