Individual
SEAN P MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2725 JAMES SANDERS BLVD, STE A, PADUCAH, KY 42001-8405
(270) 554-5114
(270) 215-4834
Mailing address
2725 JAMES SANDERS BLVD, SUITE A, PADUCAH, KY 42001-8401
(270) 554-5114
(270) 554-5021
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
36051
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64024797
—
KY
Enumeration date
10/25/2005
Last updated
10/30/2019
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