Organization
KY DENTAL PROFESSIONALS II PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE WORKMAN (ANALYST, REVENUE CYCLE MANAGEMENT)
(440) 241-1931
Entity
Organization
Contact information
Practice address
1836 BROADWAY ST, PADUCAH, KY 42001-2708
(270) 442-0256
(270) 442-8730
Mailing address
PO BOX 306208, NASHVILLE, TN 37230-6208
(615) 620-5990
(888) 702-3012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
12/03/2018
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