Organization
MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION
Active
Other names
Murray Pediatics
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRADFORD (AUTHORIZED OFFICIAL)
(270) 762-1104
Entity
Organization
Contact information
Practice address
300 S 8TH ST STE 208E, MURRAY, KY 42071-2472
(270) 759-9223
(270) 753-7345
Mailing address
300 S 8TH ST STE 480W, MURRAY, KY 42071-2403
(270) 753-0704
(270) 752-2852
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100353990
—
KY
05
—
7100354010
—
KY
05
—
7100369640
—
KY
Enumeration date
05/11/2015
Last updated
04/18/2022
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