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Contact Information

PADUCAH DERMATOLOGY PLLC
3101 PARISA DR
PADUCAH, KY42003
 Phone: 270-444-8477
 Fax: 270-444-8479
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for PADUCAH DERMATOLOGY PLLC

NPI # 1831242551
LBN Legal business name PADUCAH DERMATOLOGY PLLC
Authorized official HALDEN FORD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2007
Last updated 08/08/2018 - About 8 years ago
Identifiers
KY License # 32680
KY Medicaid 65940298
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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