Organization
FIRST ON SITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA JENKINS JENKINS (ASSISANT MANAGER)
(866) 931-8999
Entity
Organization
Contact information
Practice address
275 E MAIN ST, FRANKFORT, KY 40601-2321
(502) 564-5555
(502) 696-3996
Mailing address
275 E MAIN ST, FRANKFORT, KY 40601-2321
(502) 564-5555
(502) 696-3996
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
3006462
KY
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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