Individual
DR. PETER E CLEMENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1653
(270) 825-5100
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1653
(270) 825-5100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39589
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000523158
BCBS PROVIDER NUMBER
KY
05
—
64113293
—
KY
Enumeration date
11/23/2005
Last updated
06/20/2014
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