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Organization

KYLE D PARISH MD PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY BROOKE GREAM LPN (OFFICE MANAGER)
(270) 443-0010
Entity
Organization

Contact information

Practice address
2407 NEW HOLT RD, PADUCAH, KY 42001-7455
(270) 443-0010
(270) 558-1492
Mailing address
2407 NEW HOLT RD, PADUCAH, KY 42001-7455
(270) 443-0010
(270) 558-1492

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
38909
KY

Other

Enumeration date
10/16/2007
Last updated
08/13/2025
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