Individual
DR. VIVEK JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 651-1111
(270) 659-5856
Mailing address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 651-1111
(270) 659-5856
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
37568
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64063043
—
KY
Enumeration date
05/16/2006
Last updated
09/18/2014
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