Provider Demographics
NPI:1821250648
Name:JEFFREY K RIGGS DO LLC
Entity Type:Organization
Organization Name:JEFFREY K RIGGS DO LLC
Other - Org Name:RIGGS PHYSICIAN ASSISTANT GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:K
Authorized Official - Last Name:RIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:270-885-7300
Mailing Address - Street 1:1102 S VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-3579
Mailing Address - Country:US
Mailing Address - Phone:270-885-7300
Mailing Address - Fax:270-885-7198
Practice Address - Street 1:1102 S VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-3579
Practice Address - Country:US
Practice Address - Phone:270-885-7300
Practice Address - Fax:270-885-7198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty