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2601 Kentucky Ave Dob 1 Suite 301 Paducah KY 42003-3817 | |
(270) 575-3113 | |
(270) 575-3135 |
Full Name | |
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Speciality | Clinic/center |
Location | 2601 Kentucky Ave, Paducah, Kentucky |
Authorized Official Name and Position | James S. Gwinn (PRESIDENT) |
Authorized Official Contact | 2704150361 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 7648 Paducah KY 42002-7648 Ph: (800) 467-2392 | 2601 Kentucky Ave Dob 1 Suite 301 Paducah KY 42003-3817 Ph: (270) 575-3113 |
NPI Number | 1891806899 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 08/03/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891806899 | NPI | - | NPPES |
4406729 | Medicaid | TN | |
0855626 | Other | KY | UMW PROV. GROUP NUMBER |
2152 | Other | KY | BLUE SHIELD |
Jeffrey L. Riney M.d. & Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Medical Center Dr, Suite 209b, Paducah, KY 42003 Phone: 270-441-4610 Fax: 270-441-4608 | |
Mercy Health Physicians Kentucky Specialty Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Medical Center Dr Ste 202, Paducah, KY 42003 Phone: 270-441-4510 Fax: 270-441-4512 | |
Western Baptist Medical Ventures, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Kentucky Ave, Paducah, KY 42003 Phone: 270-575-2101 Fax: 270-575-2905 | |
Infectious Diseases Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Broadway St, Paducah, KY 42001 Phone: 270-444-9889 Fax: 270-444-9291 | |