Organization
TRANSFORMATION WELLNESS CENTER LLC
Active
Organization
TRANSFORMATION WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY M NELSON D.O, PHARM.D.,M.P.H. (MEDICAL DIRECTOR)
(270) 443-0885
Entity
Organization
Contact information
Practice address
632 LONE OAK RD, PADUCAH, KY 42003-4540
(270) 443-0885
(270) 443-9068
Mailing address
632 LONE OAK RD, PADUCAH, KY 42003-4540
(270) 443-0885
(270) 443-9068
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02797
KY
Other
Enumeration date
07/04/2006
Last updated
10/09/2007
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