Type 2 organization · NPI 1477081206
TRENDING UPWARDS
251S00000X · JACKSON, KY
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 251S00000X | 251S00000X | Primary |
| 101YA0400X | 101YA0400X | Additional |
| 1041C0700X | 1041C0700X | Additional |
| 2084A0401X | 2084A0401X | Additional |
| 251B00000X | 251B00000X | Additional |
| 261QM0850X | 261QM0850X | Additional |
| 261QM2500X | 261QM2500X | Additional |
| 261QR0401X | 261QR0401X | Additional |
| 261QR0405X | 261QR0405X | Additional |
| 324500000X | 324500000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s