Organization
J.U. KEVIL MEMORIAL FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEIGH ANN JARVIS (EXECUTIVE DIRECTOR)
(270) 247-5396
Entity
Organization
Contact information
Practice address
1900 SOUTH 10TH STREET, MAYFIELD, KY 42066
(270) 247-5396
(270) 247-1233
Mailing address
PO BOX 345, MAYFIELD, KY 42066
(270) 247-5396
(270) 247-1233
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33300120
—
KY
Enumeration date
12/01/2006
Last updated
08/22/2020
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