# PARKWAY MEDICAL ASSOCIATES PSC

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

## Provider details

- **NPI number:** 1811956089
- **Authorized official:** JACKIE MAXEY MD (GENERAL PRACTITIONER)
- **Authorized official phone:** (606) 878-9611

## Contact information

- **Practice address:** 102 PROFESSIONAL DR, SUITE 2, LONDON, KY 40741-8857
- **Practice address phone:** (606) 878-9611
- **Mailing address:** PO BOX 1676, LONDON, KY 40743-1676
- **Mailing address phone:** (606) 878-9611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35548 | KY | Yes |

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 02/01/2013