Organization · Type 2 NPI
Revitalize Healthcare, Inc
Addiction Medicine (Psychiatry & Neurology) Physician · Paducah, KY
NPI number
1972007128
Active
Practice location
657 Lone Oak Rd Ste 2
Paducah, KY 42003-4547
Other practice locations
- 803A Country Club Ln, Hopkinsville, KY 42240-1370 · (270) 556-1630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Another provider at this address
Other addiction medicine (psychiatry & neurology) physician providers in Paducah
About NPI 1972007128
Revitalize Healthcare, Inc's National Provider Identifier is 1972007128, issued on Mar 22, 2018. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Paducah, KY. The record was last updated on Mar 22, 2018.