# DANVILLE PATHOLOGY ASSOCIATES PLLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063484756
- **Authorized official:** DR. RICHARD G JACKSON M.D. (PRESIDENT)
- **Authorized official phone:** (859) 239-2220

## Contact information

- **Practice address:** 217 S 3RD ST, DANVILLE, KY 40422-1823
- **Practice address phone:** (859) 239-2220
- **Practice address fax:** (859) 239-6732
- **Mailing address:** 5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
- **Mailing address phone:** (800) 288-8325
- **Mailing address fax:** (419) 866-5453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | 28116 | KY | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 18160 | KY | Yes |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 09/09/2020