| Purchase Neurology Psc | |
|
225 Medical Center Drive Suite 402 Paducah KY 42003 | |
| (270) 441-4400 | |
| (270) 441-4409 |
| Full Name | Purchase Neurology Psc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 225 Medical Center Drive, Paducah, Kentucky |
| Authorized Official Name and Position | John Edward Grubbs (PRESIDENT) |
| Authorized Official Contact | 2704414400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purchase Neurology Psc 225 Medical Center Dr Suite 402 Paducah KY 42003-7914 Ph: (270) 441-4400 | Purchase Neurology Psc 225 Medical Center Drive Suite 402 Paducah KY 42003 Ph: (270) 441-4400 |
| NPI Number | 1083704480 |
|---|---|
| Provider Enumeration Date | 10/14/2006 |
| Last Update Date | 10/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083704480 | NPI | - | NPPES |
| C13976 | Other | KY | RAILROAD MEDICARE |
| 65917908 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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