Individual
DEREK N NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1530 LONE OAK RD, PADUCAH, KY 42003-7901
(270) 444-2150
(270) 444-2985
Mailing address
1530 LONE OAK RD, PADUCAH, KY 42003-7901
(270) 444-2150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2298
KY
Other
Enumeration date
08/22/2017
Last updated
09/18/2018
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