Organization Name: | ARVIN FAMILY PRACTICE P.S.C. |
NPI Number: | 1407071954 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JON ANTHONY ARVIN (PHYSICIAN) |
Mailing Address: | 185 Newcomb Ave Mount Vernon |
State: | KY US |
Postal Code: | 404562733 |
Phone Number: | 6062562143 |
Fax Number: | 6062569762 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 04/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 33743 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |