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NPI Profile for PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY in PADUCAH, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI Number | 1962070334 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/14/2021 | |
| Last updated | 04/06/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY
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PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY