Individual
PHILLIP G PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 RING RD, ELIZABETHTOWN, KY 42701-8968
(270) 765-2107
(270) 769-9642
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6531
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15538
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000062914
ANTHEM / NCMA
—
01
—
000023044A
HUMANA / NCMA
—
01
—
008891
SIHO / NCMA
—
01
—
1048825
PASSPORT / NCMA
—
01
—
1193948
CHA / NCMA
—
01
—
1198152002
CIGNA / NCMA
—
01
—
2432237000
PASSPORT ADVANTAGE / NCMA
—
05
—
64155385
—
KY
Enumeration date
04/19/2006
Last updated
01/20/2021
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