Individual
PATRICIA L. VERHULST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2831 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-5002
(931) 245-8600
(931) 245-8660
Mailing address
PO BOX 5000, LEBANON, TN 37088-5000
(615) 444-2320
(615) 449-3163
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
34111
KY
2085R0202X
Diagnostic Radiology Physician
Primary
42702
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000696946
BCBS
KY
05
—
3000647
—
TN
05
—
64341118
—
KY
01
—
P00915988
RR MEDICARE
KY
Enumeration date
09/12/2006
Last updated
06/08/2011
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