Individual
DR. KENNETH ALLAN RUNCIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3940 PHILLIPS AVE, PADUCAH, KY 42001-4648
(270) 564-8018
(270) 534-5622
Mailing address
3940 PHILLIPS AVE, PADUCAH, KY 42001-4648
(270) 564-8018
(270) 534-5622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46739
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100358740
—
KY
Enumeration date
03/12/2014
Last updated
05/12/2020
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