Individual
MRS. RITA L MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1532 LONE OAK RD STE 230, KENTUCKY SPINE & BRAIN, PADUCAH, KY 42003
(270) 538-5800
(270) 538-5801
Mailing address
1532 LONE OAK RD STE 230, KENTUCKY SPINE & BRAIN, PADUCAH, KY 42003
(270) 538-5800
(270) 538-5801
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA878
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000517568
ANTHEM
KY
Enumeration date
06/02/2005
Last updated
09/03/2008
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