Organization · Type 2 NPI

Southern Pain and Rehabilitation Inc

Pain Medicine (Physical Medicine & Rehabilitation) Physician · Paducah, KY

NPI number 1295377497 Active

Practice location

5925 Old Hwy 60, Ste D
Paducah, KY 42001

Mailing address

5925 Old Hwy 60 West, Suite D
Paducah, KY 42001-9647

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary 2081P2900XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Gerontology Nurse Practitioner 363LG0600XNone listed

Pain Medicine (Physical Medicine & Rehabilitation) Physician: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

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About NPI 1295377497

Southern Pain and Rehabilitation Inc's National Provider Identifier is 1295377497, issued on Oct 9, 2019. The primary taxonomy on file is Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X), and the practice location is in Paducah, KY. The record was last updated on Sep 17, 2025.