Individual
JORGE CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2311 KENTUCKY AVE, PADUCAH, KY 42003-3243
(270) 443-8425
(270) 442-3303
Mailing address
PO BOX 8148, 2311 KY AVENUE, PADUCAH, KY 42002-8148
(270) 443-8425
(270) 442-3303
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31698
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044377
ANTHEM BCBS
KY
01
—
16002683A
RAILROAD MEDICARE
KY
05
—
64316987
—
KY
Enumeration date
10/04/2005
Last updated
05/23/2025
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