# DR. KELLY RAFF ANUNCIATO D.O. PSC

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

## Provider details

- **NPI number:** 1720115009
- **Authorized official:** MRS. BONNIE MILLER (OFFICE MANAGER)
- **Authorized official phone:** (270) 444-6274

## Contact information

- **Practice address:** 2605 KENTUCKY AVE, STE 502 - BLDG 3, PADUCAH, KY 42003
- **Practice address phone:** (270) 444-6274
- **Practice address fax:** (270) 444-6731
- **Mailing address:** 2605 KENTUCKY AVE, STE 502 - BLDG 3, PADUCAH, KY 42003
- **Mailing address phone:** (270) 444-6274
- **Mailing address fax:** (270) 444-6731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 02740 | KY | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 05/04/2010