Organization
CONFLUENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHARINE COALE APRN (PMHNP/DIRECTOR)
(270) 994-4450
Entity
Organization
Contact information
Practice address
425 S 6TH ST, PADUCAH, KY 42003-1809
(270) 994-4450
Mailing address
4140 MINNICH AVE, PADUCAH, KY 42001-4642
(270) 994-4450
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588693840
—
KY
05
—
7100488130
—
KY
Enumeration date
11/08/2021
Last updated
11/08/2021
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