Organization
DR. KELLY RAFF ANUNCIATO D.O. PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE MILLER (OFFICE MANAGER)
(270) 444-6274
Entity
Organization
Contact information
Practice address
2605 KENTUCKY AVE, STE 502 - BLDG 3, PADUCAH, KY 42003
(270) 444-6274
(270) 444-6731
Mailing address
2605 KENTUCKY AVE, STE 502 - BLDG 3, PADUCAH, KY 42003
(270) 444-6274
(270) 444-6731
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02740
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64048481
—
KY
Enumeration date
02/27/2007
Last updated
05/04/2010
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