| Kentucky Addiction Centers West, Llc | |
|
148 Stuart Nelson Park Rd Paducah KY 42001-9678 | |
| (270) 908-2681 | |
| Not Available |
| Full Name | Kentucky Addiction Centers West, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 148 Stuart Nelson Park Rd, Paducah, Kentucky |
| Authorized Official Name and Position | Trouper Krueger (CSO-HHR) |
| Authorized Official Contact | 9793245456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Addiction Centers West, Llc 148 Stuart Nelson Park Rd Paducah KY 42001-9678 Ph: () - | Kentucky Addiction Centers West, Llc 148 Stuart Nelson Park Rd Paducah KY 42001-9678 Ph: (270) 908-2681 |
| NPI Number | 1912583394 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 03/24/2021 |
| Certification Date | 03/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912583394 | NPI | - | NPPES |
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