Organization
FAST PACE KENTUCKY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA HARLAN (DIRECTOR OF CREDENTIALING)
(615) 948-9639
Entity
Organization
Contact information
Practice address
4755 VILLAGE SQUARE DR, PADUCAH, KY 42001-7438
(931) 253-1110
Mailing address
PO BOX 306414, NASHVILLE, TN 37230-6414
(931) 253-1110
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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