Organization · Type 2 NPI
Paducah Plastic and Reconstructive Surgery
Plastic and Reconstructive Surgery Physician · Paducah, KY
NPI number
1962070334
Active
Practice location
2605 Kentucky Ave Ste 100
Paducah, KY 42003-3800
Fax (270) 933-1047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1962070334
Paducah Plastic and Reconstructive Surgery's National Provider Identifier is 1962070334, issued on Jun 14, 2021. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Paducah, KY. The record was last updated on Apr 6, 2022.