Organization
WESTERN BAPTIST MEDICAL VENTURES, INC
Active
Parent organization
WESTERN BAPTIST MEDICAL VENTURES, INC
Other names
Neurology Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN BAPTIST MEDICAL VENTURES, INC
Authorized official
JENNIFER A TOWNSEND (REGIONAL EXECUTIVE DIR OF OPERATION)
(270) 415-7646
Entity
Organization
Contact information
Practice address
2603 KENTUCKY AVE, SUITE 304, PADUCAH, KY 42003-3814
(270) 415-4800
(270) 415-4801
Mailing address
PO BOX 7309, PADUCAH, KY 42002-7309
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
44538
KY
364SA2200X
Adult Health Clinical Nurse Specialist
3006220
KY
Other
Enumeration date
06/18/2009
Last updated
09/23/2014
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