| Jarboe Family Practice, Psc | |
|
912 Wallace Ave Ste 103 Leitchfield KY 42754-2405 | |
| (270) 230-8200 | |
| (270) 230-0882 |
| Full Name | Jarboe Family Practice, Psc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 912 Wallace Ave Ste 103, Leitchfield, Kentucky |
| Authorized Official Name and Position | Charles Daniel Jarboe (AGENT) |
| Authorized Official Contact | 2702308200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jarboe Family Practice, Psc 912 Wallace Ave Ste 103 Leitchfield KY 42754-2405 Ph: (270) 230-8200 | Jarboe Family Practice, Psc 912 Wallace Ave Ste 103 Leitchfield KY 42754-2405 Ph: (270) 230-8200 |
| NPI Number | 1215135801 |
|---|---|
| Provider Enumeration Date | 07/05/2007 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215135801 | NPI | - | NPPES |
| 65937013 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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