Individual
DR. JACK RONALD NEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2526 WESLEYAN PARK DR, OWENSBORO, KY 42301-5430
(270) 929-6608
(502) 333-3131
Mailing address
8019 DIXIE HWY SUITE 101, JENCARE NEIGHBORHOOD MEDICAL VALLEY STATION, LLC, LOUISVILLE, KY 40258
(502) 333-3121
(502) 333-3131
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
174400000X
KY
207Q00000X
Family Medicine Physician
Primary
18927
KY
207V00000X
Obstetrics & Gynecology Physician
18927
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64189277
—
KY
Enumeration date
08/23/2006
Last updated
05/05/2020
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