Individual
KYLE ANDREW THWEATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
225 MEDICAL CENTER DR, SUITE 405, PADUCAH, KY 42003-7914
(270) 441-4750
(270) 441-4770
Mailing address
225 MEDICAL CENTER DR, SUITE 405, PADUCAH, KY 42003-7914
(270) 441-4750
(270) 441-4770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
177485
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
3010332
KY
Other
Enumeration date
05/27/2016
Last updated
06/13/2016
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