Organization
SLEEP SOURCE KENTUCKY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SEXTON (CO-OWNER)
(270) 575-0080
Entity
Organization
Contact information
Practice address
3125 PARISA DR, PADUCAH, KY 42003-4584
(270) 575-0080
(270) 575-0081
Mailing address
3125 PARISA DRIVE, PADUCAH, KY 42003-4584
(270) 575-0080
(270) 575-0081
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
730079
KY
Other
Enumeration date
11/04/2008
Last updated
11/10/2009
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