Jaynes Family Practice | |
1013 Master St Corbin KY 40701-1065 | |
(606) 304-3794 | |
(606) 280-4051 |
Full Name | Jaynes Family Practice |
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Speciality | Clinic/Center |
Location | 1013 Master St, Corbin, Kentucky |
Authorized Official Name and Position | Leslie Gayle Phelps (OWNER) |
Authorized Official Contact | 6062804000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jaynes Family Practice Po Box 2634 Corbin KY 40702-2634 Ph: (606) 280-4000 | Jaynes Family Practice 1013 Master St Corbin KY 40701-1065 Ph: (606) 304-3794 |
NPI Number | 1184228553 |
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Provider Enumeration Date | 11/25/2020 |
Last Update Date | 06/24/2022 |
Medicare PECOS PAC ID | 3779992573 |
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Medicare Enrollment ID | O20210507000532 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184228553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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