National Provider Identifier Database

WEST KENTUCKY GYNECOLOGY ASSOCIATES PLLC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

WEST KENTUCKY GYNECOLOGY ASSOCIATES PLLC
423 SOUTH 28TH ST
SUITE A
PADUCAH, KY42003-3865
Phone: 270-442-7181
Fax: 270-442-0113
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for WEST KENTUCKY GYNECOLOGY ASSOCIATES PLLC

NPI Number 1154486942
Legal business name
LBN
WEST KENTUCKY GYNECOLOGY ASSOCIATES PLLC
Authorized official JOHNNY BRYANT - (DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 12/22/2006
Last updated 06/20/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 35692
  • KY Medicaid: 64013931

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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