| J. R. Holdings, Inc | |
|
612 Barrett Blvd Henderson KY 42420-2620 | |
| (270) 844-8232 | |
| (270) 844-8238 |
| Full Name | J. R. Holdings, Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 612 Barrett Blvd, Henderson, Kentucky |
| Authorized Official Name and Position | Jennifer Todd (OFFICE MANAGER/OWNER) |
| Authorized Official Contact | 2708448232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. R. Holdings, Inc 612 Barrett Blvd Henderson KY 42420-2620 Ph: (270) 844-8232 | J. R. Holdings, Inc 612 Barrett Blvd Henderson KY 42420-2620 Ph: (270) 844-8232 |
| NPI Number | 1972881324 |
|---|---|
| Provider Enumeration Date | 08/02/2011 |
| Last Update Date | 05/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972881324 | NPI | - | NPPES |
| 7100179140 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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