Organization
IMAC MEDICAL OF KENTUCKY PSC
Active
Parent organization
IMAC MEDICAL OF KENTUCKY PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMAC MEDICAL OF KENTUCKY PSC
Authorized official
BAILEE BOYETT (CREDENTIALING SPECIALIST)
(615) 678-0024
Entity
Organization
Contact information
Practice address
2725 JAMES SANDERS BLVD STE A, PADUCAH, KY 42001-8405
(270) 554-5114
(270) 215-4834
Mailing address
1605 WESTGATE CIR STE 100, BRENTWOOD, TN 37027-8396
(615) 637-7333
(615) 663-7334
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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