Kentucky Medical Spa

LBN: Kentucky Medical Spa
Kentucky Medical Spa is an health care organization with primary practice located at 636 Jefferson Ave , Paintsville KY 41240-1349. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Kentucky Medical Spa can be contacted via phone (606) 788-1035, or through Brackett, Jerry via phone (606) 788-1035.

Contact Information

Primary practice address
636 Jefferson Ave Paintsville KY 41240-1349
Phone: (606) 788-1035
Fax: (606) 788-1045
Website:
Map and Directions
Authorized official contact:
Name: Brackett, Jerry Doctor of Medicine (MD)
Phone: (606) 788-1035

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 14390 Kentucky

Profile Details

NPI number 1326440637
LBN Legal business name Kentucky Medical Spa
DBA Doing business as
Authorized official Brackett, Jerry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2014
Last updated Sep 17th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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