Individual
NATHAN M WADKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
467 JORDAN DR STE 102, PADUCAH, KY 42001-7499
(270) 297-2020
(270) 297-2020
Mailing address
5312 W 41ST ST, TULSA, OK 74107-6110
(918) 800-2020
(877) 464-4002
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
271288
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271288
COMMONWEALTH OF KENTUCKY BOARD OF OPHTHALMIC DISPENSERS
KY
Enumeration date
03/01/2022
Last updated
03/02/2022
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