| Kentucky River Physician Corporation | |
|
726 Highway 15 N Suite 4 Jackson KY 41339-8601 | |
| (606) 666-2545 | |
| (606) 666-2621 |
| Full Name | Kentucky River Physician Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 726 Highway 15 N, Jackson, Kentucky |
| Authorized Official Name and Position | Laura J Fey (SR. DIRECTOR PHYSICIAN REV CYCLE) |
| Authorized Official Contact | 6152213641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky River Physician Corporation 1573 Mallory Ln Ste 100 Brentwood TN 37027-2895 Ph: (152) 221-1400 | Kentucky River Physician Corporation 726 Highway 15 N Suite 4 Jackson KY 41339-8601 Ph: (606) 666-2545 |
| NPI Number | 1831411354 |
|---|---|
| Provider Enumeration Date | 02/25/2010 |
| Last Update Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831411354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 700199 (Kentucky) | Primary |
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