Organization
PADUCAH PHYSIATRIC PARTNERS P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTE E ROMMELMAN M.D. (PRESIDENT/OWNER)
(270) 443-9352
Entity
Organization
Contact information
Practice address
5150 VILLAGE SQUARE DR, PADUCAH, KY 42001-9060
(270) 443-9352
(270) 443-9013
Mailing address
PO BOX 7038, PADUCAH, KY 42002-7038
(270) 443-9352
(270) 443-9013
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
KY
363A00000X
Physician Assistant
—
KY
363L00000X
Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405786874
—
IL
05
—
65905606
—
KY
05
—
7100103200
—
KY
Enumeration date
10/02/2006
Last updated
03/24/2011
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