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Organization
KY DENTAL PROFESSIONALS II PSC
Active
Organization
KY DENTAL PROFESSIONALS II PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE WORKMAN (ANALYST, REVENUE CYCLE MANAGEMENT)
(440) 241-1931
Entity
Organization
Contact information
Practice address
1836 BROADWAY ST, PADUCAH, KY 42001-2708
(270) 442-0256
(270) 442-8730
Mailing address
PO BOX 306208, NASHVILLE, TN 37230-6208
(615) 620-5990
(888) 702-3012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
12/03/2018
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