St. John Neumann's Extended Hours Clinic

NPI #1003004912 in Jackson, Kentucky

Provider Information

NPI Number: 1003004912
Entity Type: Organization
Organization Name: St. John Neumann's Extended Hours Clinic
Primary Specialty: Family Medicine
Enumeration Date: Oct 5, 2007
Last Updated: Oct 5, 2007

Practice Location

Address: 1389 HIGHWAY 15 NORTH
City: Jackson
State: Kentucky
ZIP Code: 41339
Phone: (606) 666-4011

Authorized Official

Name: MRS. THERESA MERCED
Title: OFFICE MANAGER
Phone: (606) 666-4011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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