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Individual

DR. WALTER SCOTT LYKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
225 MEDICAL CENTER DR, SUITE 308, PADUCAH, KY 42003-7914
(270) 441-4750
(270) 441-4770
Mailing address
225 MEDICAL CENTER DR, SUITE 308, PADUCAH, KY 42003-7914
(270) 441-4750
(270) 441-4770

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28106
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000361141
BCBS
05
64281066
KY
01
P00278684
RAILROAD MEDICARE
Enumeration date
10/03/2006
Last updated
07/08/2007
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