J.U. Kevil Memorial Foundation, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

J.U. KEVIL MEMORIAL FOUNDATION, INC.

Practice address

1900 South 10TH Street
Mayfield, KY 42066

Phone

(270) 247-5396

Fax

(270) 247-1233

NPI assigned

Dec 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Leigh Ann Jarvis

Title

Executive Director

Phone

(270) 247-5396

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760550644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 345",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "42066",
            "telephone_number": "270-247-5396",
            "fax_number": "270-247-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SOUTH 10TH STREET",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "42066",
            "telephone_number": "270-247-5396",
            "fax_number": "270-247-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.U. KEVIL MEMORIAL FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "LEIGH ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-247-5396",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33300120",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Mayfield, KY
• Providers in Mayfield, KY by specialty
• Rehabilitation Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.