Individual
DR. JOHN E MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 KENTUCKY AVE, DOC. BLDG.1, STE 201, PADUCAH, KY 42003
(270) 575-0079
(270) 575-0646
Mailing address
2601 KENTUCKY AVE, DOC. BLDG.1, STE 201, PADUCAH, KY 42003
(270) 575-0079
(270) 575-0646
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
16274
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64162746
—
KY
Enumeration date
07/11/2006
Last updated
07/08/2007
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