Organization
J. R. HOLDINGS, INC
Active
Other names
St. Camillus Urgent Care of Henderson
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER TODD (OFFICE MANAGER/OWNER)
(270) 844-8232
Entity
Organization
Contact information
Practice address
612 BARRETT BLVD, HENDERSON, KY 42420-2620
(270) 844-8232
(270) 844-8238
Mailing address
612 BARRETT BLVD, HENDERSON, KY 42420-2620
(270) 844-8232
(270) 844-8238
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100179140
—
KY
Enumeration date
08/02/2011
Last updated
05/09/2012
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