Organization
JARBOE FAMILY PRACTICE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DANIEL JARBOE MD (AGENT)
(270) 230-8200
Entity
Organization
Contact information
Practice address
912 WALLACE AVE STE 103, LEITCHFIELD, KY 42754-2405
(270) 230-8200
(270) 230-0882
Mailing address
912 WALLACE AVE STE 103, LEITCHFIELD, KY 42754-2405
(270) 230-8200
(270) 230-0882
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65937013
—
KY
Enumeration date
07/05/2007
Last updated
07/17/2008
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