Individual
MARK B CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 BROADWAY, PADUCAH, KY 42001
(270) 442-7121
Mailing address
609 EASTWOOD AVE APT B, BOWLING GREEN, KY 42103-6508
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
02/24/2009
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