Organization
PADUCAH PSYCHIATRY GROUP PSC
Active
Organization
PADUCAH PSYCHIATRY GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A MEYER MD (PRESIDENT)
(270) 443-8195
Entity
Organization
Contact information
Practice address
100 FOUNTAIN AVE, SUITE 301, PADUCAH, KY 42001-2774
(270) 443-8195
(270) 444-7922
Mailing address
100 FOUNTAIN AVE, SUITE 301, PADUCAH, KY 42001-2774
(270) 443-8195
(270) 444-7922
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20671
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049057
BCBS
KY
01
—
00511500
MAGELLAN
—
05
—
64206717
—
KY
Enumeration date
01/08/2007
Last updated
07/18/2008
Update your record
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