Organization
ADDIXXION RECOVERY OF KENTUCKY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINGER JACKSON (MARKETING)
(859) 333-5125
Entity
Organization
Contact information
Practice address
106 BELINDA BLVD, DANVILLE, KY 40422-3217
(859) 209-2320
Mailing address
461 S 4TH ST, DANVILLE, KY 40422-2053
(859) 209-2305
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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