| Full Name | |
|---|---|
| Speciality | Surgery |
| Location | 9480 Highway 805, Jenkins, Kentucky |
| Authorized Official Name and Position | Cindy M Locke (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 4232243250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 37024 Baltimore MD 21297-3024 Ph: (423) 224-3250 | 9480 Highway 805 Jenkins KY 41537 Ph: (606) 832-2171 |
| NPI Number | 1891990693 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891990693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
Pikeville Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9428 Highway 805, Jenkins, KY 41537 Phone: 606-832-0023 Fax: 606-832-0024 | |
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Jenkins Family Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 853 Lakeside Drive, Jenkins, KY 41537 Phone: 606-832-0023 Fax: 606-832-0054 |