Organization · Type 2 NPI

Neurosurgical Associates of Western Kentucky, PSC

Nurse Practitioner · Paducah, KY

NPI number 1639374465 Active

Practice location

225 Medical Center Dr Ste 401
Paducah, KY 42003-7914

Mailing address

225 Medical Center Drive, Suite 401, P.o. Box 7843
Paducah, KY 42002-7843

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1639374465

Neurosurgical Associates of Western Kentucky, PSC's National Provider Identifier is 1639374465, issued on Jun 20, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Paducah, KY. The record was last updated on Sep 11, 2025.