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 |
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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 |
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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 |
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Provider Enumeration Date | 09/02/2020 |
Last Update Date | 09/02/2020 |
Medicare PECOS PAC ID | 8022437193 |
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Medicare Enrollment ID | O20200923002882 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871107375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Laura Ellen Purdy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20200728001834 |
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