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Organization
PADUCAH WOMEN'S CLINIC PSC
Active
Organization
PADUCAH WOMEN'S CLINIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE M CARDENAS MD (PRESIDENT)
(270) 443-8425
Entity
Organization
Contact information
Practice address
2311 KY AVE, PADUCAH, KY 42003-8148
(270) 443-8425
(270) 442-3303
Mailing address
PO BOX 8148, PADUCAH, KY 42002-8148
(270) 443-8425
(270) 442-3303
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
NULL
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65918658
—
KY
Enumeration date
10/16/2006
Last updated
09/24/2020
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