Individual
CHRISTOPHER RAY HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2603 KENTUCKY AVE, SUITE 304, PADUCAH, KY 42003-3814
(270) 415-4800
(270) 415-4801
Mailing address
2605 KENTUCKY AVE, SUITE 306, PADUCAH, KY 42003-3800
(270) 415-7653
(270) 575-8359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA069
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95001392
—
KY
Enumeration date
10/31/2005
Last updated
12/04/2020
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