Organization
RESPIRATORY DISEASE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CULBERTSON JR. M.D. (PARTNER)
(270) 442-3647
Entity
Organization
Contact information
Practice address
1920 BROADWAY ST, PADUCAH, KY 42001-7106
(270) 442-3647
(270) 442-3777
Mailing address
1920 BROADWAY ST, PADUCAH, KY 42001-7106
(270) 442-3647
(270) 442-3777
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65907578
—
KY
Enumeration date
08/31/2006
Last updated
05/21/2015
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