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Organization
ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC
Active
Organization
ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA MERCED (OFFICE MANAGER)
(606) 666-4011
Entity
Organization
Contact information
Practice address
1389 HIGHWAY 15 NORTH, JACKSON, KY 41339
(606) 666-4011
(606) 666-5801
Mailing address
PO BOX 606, JACKSON, KY 41339-0606
(606) 666-4011
(606) 666-5801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KY24420
KY
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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