JACKIE D MAXEY

LONDON, KY
NPI1073525861
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: KY  35548)
Enumeration Date2006-08-12
Last Update Date2014-08-15
Business Address
Dr. JACKIE D MAXEY MD
102 PROFESSIONAL DR SUITE #2
LONDON, KY 40741-8857
Phone number: 606-878-9611
Mailing Address
Dr. JACKIE D MAXEY MD
PO BOX 1676
LONDON, KY 40743-1676
Phone number: 606-878-9611