Individual
JACKIE R KAZEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
44622
KY
207Q00000X
Family Medicine Physician
TP001
KY
Other
Enumeration date
06/23/2008
Last updated
12/27/2011
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