Organization
WESTERN KENTUCKY PAIN MANAGEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD HAMBLEN (MEMBER)
(859) 746-2444
Entity
Organization
Contact information
Practice address
3515 FREDERICA ST, OWENSBORO, KY 42301-6902
(270) 683-4073
(270) 683-4075
Mailing address
7986 TANNERS GATE LN, FLORENCE, KY 41042-1863
(859) 746-2444
(859) 746-9555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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