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Contact Information

DANIEL M TKACH, MD
2601 KENTUCKY AVE
STE 401
PADUCAH, KY42003-3827
 Phone: 270-444-8200
 Fax: 270-444-8398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DANIEL M TKACH · (Male)

NPI Number 1164441275
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2006
Last updated 11/24/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 30632
  • KY Medicaid 64306327
  • Other 240006752 RAILROAD MEDICARE
  • Other 164277500 US DEPT OF LABOR
  • KY Other 000000200472 BLUE CROSS
Hospital affiliation(s)
  • WESTERN BAPTIST HOSPITAL - (Acute Care)
    2501 KENTUCKY AVENUE
    PADUCAH, KY 42003
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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