Organization
WESTERN KENTUCKY PULMONARY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANOJ H MAJMUDAR MD (OWNER)
(270) 886-8840
Entity
Organization
Contact information
Practice address
1724 KENTON ST, STE 1B, HOPKINSVILLE, KY 42240-1981
(270) 886-8840
(270) 886-8869
Mailing address
1724 KENTON ST, STE 1B, HOPKINSVILLE, KY 42240-1981
(270) 886-8840
(270) 886-8869
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100218050
—
KY
Enumeration date
06/27/2007
Last updated
11/21/2012
Update your record
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