Organization
COMMONWEALTH PAIN ASSOCIATES PLLC
Active
Other names
Commonwealth Pain And Spine
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CARNES LEWIS (OWNER)
(502) 855-3919
Entity
Organization
Contact information
Practice address
110 LONE OAK RD STE 124, PADUCAH, KY 42001-4435
(812) 476-7111
(812) 476-7117
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K098500
MEDICARE
KY
Enumeration date
09/10/2024
Last updated
09/10/2024
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