National Provider Identifier Database

JACKSON WOMENS CARE
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

JACKSON WOMENS CARE
540 JETT DR
JACKSON, KY41339-9622
Phone: 606-666-6240
Fax:
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for JACKSON WOMENS CARE

NPI Number 1114134814
Legal business name
LBN
JACKSON WOMENS CARE
Authorized official LORETTA CAMPBELL - (CLINIC COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 05/16/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 21623
  • KY Medicaid: 65926974

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.

Reviews for JACKSON WOMENS CARE

There are currently no reviews for JACKSON WOMENS CARE


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