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Contact Information

PURCHASE PAIN MANAGMENT LLC
1532 LONE OAK RD
SUITE 430
PADUCAH, KY42001
 Phone: 270-415-3830
 Fax: 270-415-3831
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PURCHASE PAIN MANAGMENT LLC · (Female)

NPI Number 1174563407
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2006
Last updated 06/12/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 26073
  • KY License # 3004455
  • KY License # PA121
  • IL Medicaid 487507348
  • KY Medicaid 65945115
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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