Jackson Family Clinic, INC

NPI #1205950961 in Jackson, Missouri

Provider Information

NPI Number: 1205950961
Entity Type: Organization
Organization Name: Jackson Family Clinic, INC
Primary Specialty: Family Medicine
Enumeration Date: Mar 19, 2007
Last Updated: Apr 29, 2008

Practice Location

Address: 545 BROADRIDGE
City: Jackson
State: Missouri
ZIP Code: 63755
Phone: (573) 243-8408

Authorized Official

Name: DR. KENNETT D ASHER, DO
Title: OWNER
Phone: (573) 243-8408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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