Individual
KACI RAE MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2100
Mailing address
423 DUNNIGAN LN, BENTON, KY 42025-6956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1147322
KY
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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