Individual
NATHAN SHANE REASOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 KENTUCKY AVE STE 301, PADUCAH, KY 42003-3826
(270) 575-3113
Mailing address
3205 JEFFERSON ST, PADUCAH, KY 42001-4327
(270) 339-5181
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017378
KY
Other
Enumeration date
03/13/2022
Last updated
07/04/2022
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