PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY; NPI #1962070334

Contact Information

PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY

2605 KENTUCKY AVE STE 100
PADUCAH, KY 42003-3800

Phone: 270-709-1984
Fax: 270-933-1047
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Plastic and Reconstructive Surgery	2086S0122X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY

NPI Number	`1962070334`
LBN Legal business name	PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY
Authorized official	DANIEL VERBIST - (MEMBER/MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/14/2021
Last updated	04/06/2022 - About 4 years ago
Identifiers	n/a

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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PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY

Contact Information

Specialty

Plastic and Reconstructive Surgery

NPI Profile & details for PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY

Reviews for PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY