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Organization

HUMAN PERFORMANCE MEDICAL-KENTUCKY, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH VERNA (VICE PRESIDENT OPERATIONS)
(484) 459-0780
Entity
Organization

Contact information

Practice address
3038 LONE OAK RD STE 4, PADUCAH, KY 42003-5722
(484) 459-0780
Mailing address
3038 LONE OAK RD STE 4, PADUCAH, KY 42003-5722
(484) 459-0780

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
08/07/2023
Last updated
08/07/2023
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