Provider Demographics
NPI:1851699896
Name:MILO, JACKIE P (MD)
Entity Type:Individual
Prefix:DR
First Name:JACKIE
Middle Name:P
Last Name:MILO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:300 S 8TH ST
Mailing Address - Street 2:SUITE 480W
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2400
Mailing Address - Country:US
Mailing Address - Phone:270-762-1782
Mailing Address - Fax:270-762-1783
Practice Address - Street 1:300 S 8TH ST
Practice Address - Street 2:SUITE 208E
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2400
Practice Address - Country:US
Practice Address - Phone:270-759-9223
Practice Address - Fax:270-752-2859
Is Sole Proprietor?:No
Enumeration Date:2011-02-28
Last Update Date:2023-08-02
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Provider Licenses
StateLicense IDTaxonomies
KY44144208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics