is a Interventional Cardiology in Paducah, Kentucky. practices all healthcare services and medical treatments related to Interventional Cardiology. The NPI Number for is 1902918980. The last update date is .
's current location address is Po Box 7648, Paducah, Kentucky. You can contact this provider via phone number 2705753113 and fax number 2705753135. The mailing address for is Po Box 7648, Paducah, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 7648, Paducah, Kentucky |
| Phone Number | 2705753113 |
| Fax Number | 2705753135 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1902918980 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 7648 |
|---|---|
| City | Paducah |
| State | Kentucky (KY) |
| Post Code | 420027648 |
| Phone Number | 2705753113 |
| Fax Number | 2705753135 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Cardiology |
|---|---|
| Taxonomy | 207Ri0011X |
| Licence No | 21245 |
|
Definition: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medicat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2152 | KY | KENTUCKY BLS PROVIDER | |
| 610976324003 | KY | CHAMPUS ID # | |
| 64212459 | KY | -- |
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