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1528104700
PARKWAY MED ASSOC PSC NURSE PRACT
LONDON, KY
NPI
1528104700
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Entity Type
Organization
Authorized Contact
JACKIE D MAXEY
Owner
606-878-9611
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 35548)
Enumeration Date
2007-01-29
Last Update Date
2010-03-16
Business Address
PARKWAY MED ASSOC PSC NURSE PRACT
102 PROFESSIONAL DR SUITE 2
LONDON, KY 40741-8857
Phone number: 606-878-9611
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Mailing Address
PARKWAY MED ASSOC PSC NURSE PRACT
PO BOX 1676
LONDON, KY 40743-1676
Phone number: 606-878-9611
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