Kentucky Medical Spa
NPI #1326440637 in Paintsville, Kentucky
Provider Information
- NPI Number
- 1326440637
- Entity Type
- Organization
- Organization Name
- Kentucky Medical Spa
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 17, 2014
- Last Updated
- Sep 17, 2014
Practice Location
- Address
- 636 JEFFERSON AVE
- City
- Paintsville
- State
- Kentucky
- ZIP Code
- 41240-1349
- Phone
- (606) 788-1035
Authorized Official
- Name
- DR. JERRY BRACKETT, M.D.
- Title
- PRESIDENT
- Phone
- (606) 788-1035
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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