# O'BRYAN FAMILY MEDICINE PLLC

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

## Provider details

- **NPI number:** 1235367442
- **Authorized official:** JOSEPH M O'BRYAN MD (OWNER)
- **Authorized official phone:** (270) 442-0240

## Contact information

- **Practice address:** 5120 VILLAGE SQUARE DR, SUITE 103, PADUCAH, KY 42001-9060
- **Practice address phone:** (270) 442-0240
- **Mailing address:** PO BOX 9150, PADUCAH, KY 42002-9150
- **Mailing address phone:** (270) 744-9600
- **Mailing address fax:** (270) 744-0834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 36713 | KY | Yes |

## Other

- **Enumeration date:** 06/25/2009
- **Last updated:** 12/19/2011