Individual
MRS. THU-TRANG CLEO THI KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2180
(270) 575-8479
Mailing address
55 CRESENT PT, GILBERTSVILLE, KY 42044-8824
(615) 337-7180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA962
KY
363AM0700X
Medical Physician Assistant
PA962
KY
363AS0400X
Surgical Physician Assistant
Primary
PA962
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100032090
—
KY
Enumeration date
08/10/2006
Last updated
01/14/2019
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