Individual
DR. LUIS A CONCEPCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2603 KENTUCKY AVE, SUITE 403, PADUCAH, KY 42003-3814
(270) 444-3930
(270) 442-5284
Mailing address
PO BOX 8449, PADUCAH, KY 42002-8449
(270) 444-3930
(270) 442-5284
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
36933
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206246
ANTHEM
KY
05
—
64040934
—
KY
01
—
830007677
RAILROAD MEDICARE
KY
Enumeration date
05/18/2006
Last updated
12/02/2020
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