Organization
FAMILY MEDICINE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE R KAZEE MD (PHYSICIAN PARTNER)
(606) 836-3196
Entity
Organization
Contact information
Practice address
1101 SAINT CHRISTOPHER DR, SUITE 250, ASHLAND, KY 41101-7087
(606) 836-3196
(606) 836-2564
Mailing address
1101 SAINT CHRISTOPHER DR, SUITE 250, ASHLAND, KY 41101-7087
(606) 836-3196
(606) 836-2564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100149760
—
KY
Enumeration date
09/14/2006
Last updated
12/20/2016
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