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Jackson Physician Corp
Pediatric Urology Physician in Jackson, Kentucky
NPI 1023219425

Jackson Physician Corp is a Pediatric Urology Physician based in Jackson, KY and is specialized in Pediatric Urology. Jackson Physician Corp practices in Jackson, KY. The NPI Number for Jackson Physician Corp is 1023219425 and holds a License No. 25492 (Kentucky).

The current practice location address for Jackson Physician Corp is 1550 Highway 15 S Ste 27, Jackson, KY and can be reached out via phone at 606-693-0116 and via fax at 606-693-0118.

Location: 1550 Highway 15 S Ste 27, Jackson, KY, 41339-0790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023219425
Provider Name
Jackson Physician Corp
Credential
Provider Entity Type
Organization
Address
1550 Highway 15 S Ste 27, Jackson, KY, 41339-0790
Phone Number
606-693-0116
Fax Number
606-693-0118
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1550 Highway 15 S Ste 27
City
Jackson
State
Kentucky
Zip
41339-8604
Phone Number
606-693-0116
Fax Number
606-693-0118
person
Provider Business Mailing Address Details
Address
1550 Highway 15 S Ste 27
City
Jackson
State
Kentucky
Zip
41339-8604
Phone Number
606-693-0116
Fax Number
606-693-0118
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
Pediatric Urology
Taxonomy
2088P0231X
License No.
25492 (Kentucky)
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
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