Organization
TROY M NELSON DO PHARMD MPH PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY MARVIN NELSON D.O.,PHARM.D.,M.P.H. (OWNER)
(270) 443-0708
Entity
Organization
Contact information
Practice address
125 SOUTH 20TH ST, PADUCAH, KY 42001-7100
(270) 443-0708
(270) 443-0705
Mailing address
125 S 20TH ST, PADUCAH, KY 42001-7100
(270) 443-0708
(270) 443-0705
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
02797
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64071806
—
KY
Enumeration date
11/15/2006
Last updated
11/05/2010
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