Dr Kenneth Allan Runciman, MD | |
3940 Phillips Ave, Paducah, KY 42001-4648 | |
(270) 564-8018 | |
(270) 534-5622 |
Full Name | Dr Kenneth Allan Runciman |
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Gender | Male |
Speciality | Family Medicine |
Location | 3940 Phillips Ave, Paducah, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477979698 | NPI | - | NPPES |
7100358740 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 46739 (Kentucky) | Primary |
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210209002652 |
Mailing Address | Practice Location Address |
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Dr Kenneth Allan Runciman, MD 3940 Phillips Ave, Paducah, KY 42001-4648 Ph: (270) 564-8018 | Dr Kenneth Allan Runciman, MD 3940 Phillips Ave, Paducah, KY 42001-4648 Ph: (270) 564-8018 |
Shelby Nicole Smothers, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4720 Village Square Dr Ste B, Paducah, KY 42001 Phone: 270-554-0090 | |
Dr. David B Saxon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5158 Village Square Dr, Paducah, KY 42001 Phone: 270-443-4311 Fax: 270-443-4145 | |
Thomas Benjamin Slavin, REGISTERED NURSE Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2620 Perkins Creek Dr, Paducah, KY 42001 Phone: 270-444-8465 Fax: 270-443-7734 | |
Christopher A Manger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1530 Lone Oak Rd, Paducah, KY 42003 Phone: 270-444-2150 Fax: 270-444-2985 | |
Katarzyna Malgorzata Pisarewicz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1530 Lone Oak Rd, Paducah, KY 42003 Phone: 270-444-2394 Fax: 270-444-2972 | |
Dr. Ethan Pace Walker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6321 Kentucky Dam Rd, Paducah, KY 42003 Phone: 270-898-2444 Fax: 618-453-1102 | |
Andrew Kinchen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2331 New Holt Rd, Paducah, KY 42001 Phone: 270-441-4777 Fax: 270-441-4780 |