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1530 Lone Oak Rd Paducah KY 42003-7901 | |
| (270) 538-7021 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1530 Lone Oak Rd, Paducah, Kentucky |
| Authorized Official Name and Position | Michael Yungmann (REGION CEO & SVP KY) |
| Authorized Official Contact | 2704442491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1530 Lone Oak Rd Paducah KY 42003-7901 Ph: (270) 538-7021 | 1530 Lone Oak Rd Paducah KY 42003-7901 Ph: (270) 538-7021 |
| NPI Number | 1770988917 |
|---|---|
| Provider Enumeration Date | 10/30/2014 |
| Last Update Date | 03/02/2021 |
| Certification Date | 03/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770988917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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