Organization
PARKWAY MEDICAL ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE MAXEY MD (GENERAL PRACTITIONER)
(606) 878-9611
Entity
Organization
Contact information
Practice address
102 PROFESSIONAL DR, SUITE 2, LONDON, KY 40741-8857
(606) 878-9611
Mailing address
PO BOX 1676, LONDON, KY 40743-1676
(606) 878-9611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35548
KY
Other
Enumeration date
03/17/2006
Last updated
02/01/2013
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