Organization
ONCOLOGY ASSOCIATES INC PSC
Active
Other names
Oncology Associates of West KY
Organization subpart
No
Provider details
NPI number
Authorized official
REIS DRIVER (PRACTICE MGR)
(270) 444-3930
Entity
Organization
Contact information
Practice address
2603 KENTUCKY AVE, SUITE 403, PADUCAH, KY 42003-3814
(270) 444-3930
(270) 442-5284
Mailing address
PO BOX 8449, PADUCAH, KY 42002-8449
(270) 444-3930
(270) 442-5284
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65930497
—
KY
01
—
CI1416
RAILROAD MEDICARE
KY
Enumeration date
05/25/2006
Last updated
12/04/2012
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