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NPI Code Detail

MEDICARE: JEFFREY K. RIGGS, D.O., PLLC

MEDICARE: JEFFREY K. RIGGS, D.O., PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician02496KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841374428
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFREY K. RIGGS, D.O., PLLC
Provider Business Mailing Address
First Line : 1102 S VIRGINIA ST
Second Line :
City : HOPKINSVILLE
State : KY
Zip : 42240-3579
Country : US
Telephone Number : 270-885-7300
Fax Number : 270-885-7198
Provider Business Practice Location Address
First Line : 1102 S VIRGINIA ST
Second Line :
City : HOPKINSVILLE
State : KY
Zip : 42240-3579
Country : US
Telephone Number : 270-885-7300
Fax Number : 270-885-7198
Authorized Official
Title or Position : OFFICE MANAGER
Name : TAMMY GOODMAN
Credential :
Telephone Number : 270-885-7300
Provider Enumeration Date : 10/24/2006
Last Update Date : 05/08/2008

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