Individual
JUSTIN DAMRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 CLINT HILL BLVD, PADUCAH, KY 42001-6768
(270) 442-9461
(270) 441-0079
Mailing address
200 CLINT HILL BLVD, PADUCAH, KY 42001-6768
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2132
KY
363A00000X
Physician Assistant
TC545
KY
Other
Enumeration date
10/12/2016
Last updated
12/07/2023
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