Organization
AARON K. JONAN MEMORIAL CLINIC INC.
Active
Organization
AARON K. JONAN MEMORIAL CLINIC INC.
Active
Other names
Aaron Jonan Memorial Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DJIEN SO (ADMINISTRATOR/ACCESS MANAGER)
(606) 794-5600
Entity
Organization
Contact information
Practice address
832 HIGHWAY 15 N, JACKSON, KY 41339-8284
(606) 666-5142
(606) 666-4172
Mailing address
832 HIGHWAY 15 N, JACKSON, KY 41339-8284
(606) 666-5142
(606) 666-4172
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
43629
KY
261QR1300X
Rural Health Clinic/Center
Primary
900029
KY
363LF0000X
Family Nurse Practitioner
3006826
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100336880
—
KY
Enumeration date
08/01/2006
Last updated
05/09/2023
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