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Individual

JAKE R OMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
227 BURLEY AVE, HOPKINSVILLE, KY 42240-8725
(270) 887-6565
(270) 887-8301
Mailing address
PO BOX 2400, HOPKINSVILLE, KY 42241-2400
(270) 885-0570
(270) 887-6575

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
007345
AZ
207Q00000X
Family Medicine Physician
Primary
05642
KY

Other

Enumeration date
06/22/2015
Last updated
02/26/2024
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