Purchase Derm-Ent, Pllc in Paducah - Family
Purchase Derm-Ent, Pllc - NPI 1336101179
Purchase Derm-Ent, Pllc is a Family in Paducah, Kentucky. Purchase Derm-Ent, Pllc practices all healthcare services and medical treatments related to Family. The NPI Number for Purchase Derm-Ent, Pllc is 1336101179. The last update date is 2012-05-30.
Purchase Derm-Ent, Pllc's current location address is 2605 Kentucky Avenue, Paducah, Kentucky. You can contact this provider via phone number 2704084368 and fax number 5704083272. The mailing address for Purchase Derm-Ent, Pllc is 2605 Kentucky Avenue, Paducah, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Purchase Derm-Ent, Pllc |
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Address | 2605 Kentucky Avenue, Paducah, Kentucky |
Phone Number | 2704084368 |
Fax Number | 5704083272 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PARTNER |
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Authorized Official Name | Jones C Shawn |
Credentials | M.D. |
Telephone Number | 5704084368 |
NPI Number Detail
NPI Number | 1336101179 |
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Provider Enumeration Date | 2006-04-05 |
Last Updated Date | 2012-05-30 |
Provider Mailing Address Detail
Address | 2605 Kentucky Avenue |
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City | Paducah |
State | Kentucky (KY) |
Post Code | 420033800 |
Phone Number | 2704084368 |
Fax Number | 5704083272 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
7100198720 | KY | -- | |
78903721 | KY | -- |
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What is the unique 10-digit identifier code issued to Purchase Derm-Ent, Pllc by the Centers for Medicare & Medicaid Services?
The Purchase Derm-Ent, Pllc has been assigned the NPI (National Provider Identifier) 1336101179 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Purchase Derm-Ent, Pllc located?
The Purchase Derm-Ent, Pllc is located at 2605 Kentucky Avenue, Paducah, KY 420033800.
What is Purchase Derm-Ent, Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Purchase Derm-Ent, Pllc is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
When was the Purchase Derm-Ent, Pllc's 1336101179 issued?
The Purchase Derm-Ent, Pllc's 1336101179 was issued on 2006-04-05.
When was the information regarding Purchase Derm-Ent, Pllc most recently updated?
The details pertaining to the Purchase Derm-Ent, Pllc, including its address, specialty, and other relevant information, were last refreshed on 2012-05-30.