# PADUCAH WOMEN'S CLINIC PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215017447
- **Authorized official:** JORGE M CARDENAS MD (PRESIDENT)
- **Authorized official phone:** (270) 443-8425

## Contact information

- **Practice address:** 2311 KY AVE, PADUCAH, KY 42003-8148
- **Practice address phone:** (270) 443-8425
- **Practice address fax:** (270) 442-3303
- **Mailing address:** PO BOX 8148, PADUCAH, KY 42002-8148
- **Mailing address phone:** (270) 443-8425
- **Mailing address fax:** (270) 442-3303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 09/24/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65918658 | — | KY |