| West Towne Clinical Services Pllc | |
|
2755 W Park Dr Ste 1 Paducah KY 42001-9058 | |
| (270) 703-0894 | |
| Not Available |
| Full Name | West Towne Clinical Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2755 W Park Dr Ste 1, Paducah, Kentucky |
| Authorized Official Name and Position | Grant Mathis (OWNER) |
| Authorized Official Contact | 8554266245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Towne Clinical Services Pllc 2755 W Park Dr Ste 1 Paducah KY 42001-9058 Ph: () - | West Towne Clinical Services Pllc 2755 W Park Dr Ste 1 Paducah KY 42001-9058 Ph: (270) 703-0894 |
| NPI Number | 1871107375 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 09/02/2020 |
| Medicare PECOS PAC ID | 8022437193 |
|---|---|
| Medicare Enrollment ID | O20200923002882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871107375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Laura Purdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20200728001834 |
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