NPI 1073525861

Jackie D Maxey, MD

Practitioner Family Medicine Physician London, KY

Practice location

Address: 102 Professional Dr Suite #2, London, KY 40741-8857
Phone: (606) 878-9611
Fax: (606) 862-7565
Mailing address: PO Box 1676, London, KY 40743-1676

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 35548 (KY)

Other Family Medicine providers in Kentucky →

Registry record

NPI: 1073525861
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Aug 2006
Record last updated: 15 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.