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5150 Village Square Dr Paducah KY 42001-9060 | |
(270) 415-9575 | |
Not Available |
Full Name | |
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Speciality | Nurse Practitioner |
Location | 5150 Village Square Dr, Paducah, Kentucky |
Authorized Official Name and Position | Kimberly Rommelman (BUSINESS MANAGER) |
Authorized Official Contact | 2704159575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 7208 Paducah KY 42002-7208 Ph: (270) 415-9575 | 5150 Village Square Dr Paducah KY 42001-9060 Ph: (270) 415-9575 |
NPI Number | 1942466784 |
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Provider Enumeration Date | 07/31/2008 |
Last Update Date | 11/11/2008 |
Identifier | Type | State | Issuer |
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1942466784 | NPI | - | NPPES |
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