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Organization
ONCOLOGY ASSOCIATES INC PSC
Active
Organization
ONCOLOGY ASSOCIATES INC PSC
Active
Other names
Oncology Associates of West KY
Organization subpart
No
Provider details
NPI number
Authorized official
REIS DRIVER (PRACTICE MGR)
(270) 444-3930
Entity
Organization
Contact information
Practice address
2603 KENTUCKY AVE, SUITE 403, PADUCAH, KY 42003-3814
(270) 444-3930
(270) 442-5284
Mailing address
PO BOX 8449, PADUCAH, KY 42002-8449
(270) 444-3930
(270) 442-5284
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65930497
—
KY
01
—
CI1416
RAILROAD MEDICARE
KY
Enumeration date
05/25/2006
Last updated
12/04/2012
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