National Provider Identifier Database

RENAISSANCE PLASTIC SURGERY PLLC
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.


Contact Information

RENAISSANCE PLASTIC SURGERY PLLC
2601 KENTUCKY AVE
STE 401
PADUCAH, KY42003-3827
Phone: 270-444-8200
Fax: 270-444-8398
Website:
Specialty Taxonomy Code
* Plastic Surgery 208200000X
Plastic and Reconstructive Surgery 2086S0122X
Surgery of the Hand 2086S0105X

* Indicates primary specialty

NPI Profile & details for RENAISSANCE PLASTIC SURGERY PLLC

NPI Number 1154342350
Legal business name
LBN
RENAISSANCE PLASTIC SURGERY PLLC
Authorized official DANIEL TKACH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/22/2006
Last updated 12/03/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • KY Medicaid: 65907685

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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