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Organization

CARDIOLOGY ASSOCIATES OF PADUCAH, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOAN DAVIS (FINANCIAL DIRECTOR)
(270) 538-5500
Entity
Organization

Contact information

Practice address
1532 LONE OAK RD, SUITE 415, PADUCAH, KY 42003-7913
(270) 442-0103
(270) 442-0109
Mailing address
PO BOX 7129, PADUCAH, KY 42002-7129
(270) 442-0103
(270) 442-0109

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000058935
BLUE SHIELD
KY
05
65915704
KY
01
CM3393
RAILROAD MEDICARE
Enumeration date
08/25/2006
Last updated
10/04/2007
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