Individual
MARTHA JUNE KLOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
225 MEDICAL CENTER DR, STE. 304, PADUCAH, KY 42003-7914
(270) 441-4301
(270) 441-4739
Mailing address
225 MEDICAL CENTER DR, STE. 304, PADUCAH, KY 42003-7914
(270) 441-4301
(270) 441-4739
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 3987P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78010808
—
KY
Enumeration date
04/05/2006
Last updated
10/17/2007
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