Individual
PAUL JOSEPH GRUMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 MEDICAL CENTER DRIVE, SUITE 201, PADUCAH, KY 42003
(270) 441-4200
(270) 441-4249
Mailing address
PO BOX 7448, PADUCAH, KY 42002-7448
(270) 441-4200
(270) 441-4249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20114
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64201148
—
KY
Enumeration date
11/07/2006
Last updated
07/08/2007
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