Organization
JEFFERSONVILLE INTEGRATIVE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKEY DALE KINZEY DO (PROVIDER/OWNER)
(812) 503-4304
Entity
Organization
Contact information
Practice address
300 SPRING ST STE 3C, JEFFERSONVILLE, IN 47130-3498
(812) 503-4304
(812) 954-0576
Mailing address
300 SPRING ST STE C, JEFFERSONVILLE, IN 47130-3385
(812) 503-4304
(812) 954-0576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
03/26/2026
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