Organization · Type 2 NPI

Western Baptist Medical Ventures Inc

Primary Care Clinic/Center · Paducah, KY

NPI number 1093063406 Active

Practice location

2601 Kentucky Ave, Suite 103
Paducah, KY 42003-3817

Fax (270) 443-4145

Mailing address

PO Box 7309
Paducah, KY 42002-7309

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Primary Care Clinic/Center Primary 261QP2300XNone listed
Medical Physician Assistant 363AM0700XPA588 (KY)
Family Nurse Practitioner 363LF0000XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1093063406

Western Baptist Medical Ventures Inc's National Provider Identifier is 1093063406, issued on Aug 16, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Paducah, KY. The record was last updated on Oct 12, 2012.