PARKWAY MED ASSOC PSC NURSE PRACT

LONDON, KY
NPI1528104700
Entity TypeOrganization
Authorized ContactJACKIE D MAXEY
Owner
606-878-9611
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  35548)
Enumeration Date2007-01-29
Last Update Date2010-03-16
Business Address
PARKWAY MED ASSOC PSC NURSE PRACT
102 PROFESSIONAL DR SUITE 2
LONDON, KY 40741-8857
Phone number: 606-878-9611
Mailing Address
PARKWAY MED ASSOC PSC NURSE PRACT
PO BOX 1676
LONDON, KY 40743-1676
Phone number: 606-878-9611