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NPI Code Detail

MEDICARE: JEFFREY K RIGGS DO LLC

MEDICARE: JEFFREY K RIGGS DO LLC
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1821250648
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFREY K RIGGS DO LLC
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 : PRESIDENT OWNER
Name : JEFFREY K RIGGS
Credential : DO
Telephone Number : 270-885-7300
Provider Enumeration Date : 07/02/2008
Last Update Date : 07/02/2008

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Directions to “JEFFREY K RIGGS DO LLC ” Practice Location

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