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Organization

EYECARE ASSOCIATES OF KENTUCKY, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK OWENS O.D. (PRESIDENT)
(270) 443-9904
Entity
Organization

Contact information

Practice address
1748 BROADWAY ST, PADUCAH, KY 42001-2706
(270) 443-9904
(270) 575-0717
Mailing address
1748 BROADWAY ST, PADUCAH, KY 42001-2706
(270) 443-9904
(270) 575-0717

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
207W00000X
Ophthalmology Physician

Other

Enumeration date
09/07/2011
Last updated
09/07/2011
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