| Kentucky River Physician Corporation | |
|
424 Jett Dr Jackson KY 41339-9621 | |
| (606) 666-6600 | |
| (606) 693-0534 |
| Full Name | Kentucky River Physician Corporation |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 424 Jett Dr, Jackson, Kentucky |
| Authorized Official Name and Position | Debbie Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8778929813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky River Physician Corporation Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7000 | Kentucky River Physician Corporation 424 Jett Dr Jackson KY 41339-9621 Ph: (606) 666-6600 |
| NPI Number | 1992827927 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 03/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992827927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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