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PARKWAY MED ASSOC PSC NURSE PRACT
NPI 1528104700
Nurse Practitioner - Family in London, KY

Active since January 29, 2007
102 PROFESSIONAL DR, SUITE 2, LONDON, KY 40741(606) 878-9611 Get Directions Write a Review

NPPES record last updated: March 16, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Parkway Med Assoc Psc Nurse Pract NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARKWAY MED ASSOC PSC NURSE PRACT (NPI 1528104700) is a healthcare organization registered as a family in London, Kentucky and active in the NPI registry since January 2007. The organization lists Jackie D Maxey, Owner, as its authorized official.

NPPES Registry Identity

NPI1528104700
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePARKWAY MED ASSOC PSC NURSE PRACT
Location Address102 PROFESSIONAL DR, SUITE 2London, KY 40741-8857
Mailing AddressPo Box 1676London, KY 40743-1676 · (606) 878-9611
Phone(606) 878-9611
Organization SubpartNo
Authorized OfficialJackie D MaxeyOwner · (606) 878-9611
Enumeration DateJanuary 29, 2007
Last NPPES UpdateMarch 16, 2010
✔ NPI 1528104700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 35548
102 PROFESSIONAL DR, London, KY 40741
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Other Identifiers 1

Medicaid7890323400KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACKIE D MAXEY MD
Family Medicine
102 PROFESSIONAL DR, SUITE #2
LONDON, KY 40741
Laurel County (606) 878-9611
SARAH BREANNE MCGEORGE
Pediatrics
102 PROFESSIONAL DR
LONDON, KY 40741
Laurel County (606) 878-9611
PARKWAY MEDICAL ASSOCIATES PSC
Family Medicine
102 PROFESSIONAL DR, SUITE 2
LONDON, KY 40741
Laurel County (606) 878-9611
MEMORIAL HOSPITAL, INC.
Surgery
102 PROFESSIONAL DR, SUITE 3
LONDON, KY 40741
Laurel County (606) 864-2788

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Parkway Med Assoc Psc Nurse Pract's NPI number?

The NPI number for Parkway Med Assoc Psc Nurse Pract is 1528104700. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Parkway Med Assoc Psc Nurse Pract located?

Parkway Med Assoc Psc Nurse Pract is located at 102 Professional Dr Suite 2, London, KY 40741. The listed phone number is (606) 878-9611.

What is Parkway Med Assoc Psc Nurse Pract's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Parkway Med Assoc Psc Nurse Pract was last updated on March 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.