Organization
WESTERN HEALTHCARE SERVICES KENTUCKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DAVIS (AUTHORIZED OFFICIAL)
(469) 364-3333
Entity
Organization
Contact information
Practice address
540 JETT DR, JACKSON, KY 41339-9622
(606) 666-6000
Mailing address
4932 SUNBEAM RD, JACKSONVILLE, FL 32257-6128
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/30/2021
Last updated
09/26/2024
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