# COMPREHENSIVE NEUROLOGICAL SERVICES

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

## Provider details

- **NPI number:** 1841349263
- **Authorized official:** DR. WILLIAM HOGANCAMP M.D. (OWNER)
- **Authorized official phone:** (270) 575-9990

## Contact information

- **Practice address:** 3101 PARISA DR, PADUCAH, KY 42003-4584
- **Practice address phone:** (270) 575-9990
- **Practice address fax:** (270) 575-9950
- **Mailing address:** 3101 PARISA DR, PADUCAH, KY 42003-4584
- **Mailing address phone:** (270) 575-9990
- **Mailing address fax:** (270) 575-9950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 32561 | KY | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 12/30/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000323921 | ANTHEM BC/BS | KY |
| 01 | — | 05156 | RAILROAD MEDICARE GROUP \# | KY |
| 05 | — | 64325616 | — | KY |
| 01 | — | 65940652 | MEDICAID GROUP NUMBER | KY |
| 01 | — | 9060 | MEDICARE GROUP NUMBER | KY |
| 01 | — | P00110715 | RAILROAD MEDICARE NUMBER | KY |