Organization
PURCHASE PAIN MANAGMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RILEY D LOVE (MD/OWNER)
(270) 415-3830
Entity
Organization
Contact information
Practice address
1532 LONE OAK RD, SUITE 430, PADUCAH, KY 42001
(270) 415-3830
(270) 415-3831
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
26073
KY
363A00000X
Physician Assistant
PA121
KY
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
3004455
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
487507348
—
IL
05
—
65945115
—
KY
Enumeration date
06/07/2006
Last updated
06/12/2014
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