Organization
WESTERN BAPTIST MEDICAL VENTURES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY BARTON (VICE PRESIDENT)
(270) 575-2101
Entity
Organization
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2101
(270) 575-2905
Mailing address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2101
(270) 575-2905
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/26/2007
Last updated
05/20/2008
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