Organization
KIDNEY SPECIALISTS OF PADUCAH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUKAT ALI MD (MEMBER)
(270) 538-5880
Entity
Organization
Contact information
Practice address
1532 LONE OAK RD STE 315, PADUCAH, KY 42003-7942
(270) 538-5880
(270) 538-5870
Mailing address
1532 LONE OAK RD STE 315, PADUCAH, KY 42003-7942
(270) 538-5880
(270) 538-5870
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
364SA2200X
Adult Health Clinical Nurse Specialist
—
—
Other
Enumeration date
10/03/2018
Last updated
12/08/2023
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