Individual
KYLE DOUGLAS PARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2407 NEW HOLT RD, PADUCAH, KY 42001-7455
(270) 443-0010
(270) 558-1492
Mailing address
2407 NEW HOLT RD, PADUCAH, KY 42001-7455
(270) 443-0010
(270) 558-1492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
38909
KY
207QA0000X
Adolescent Medicine (Family Medicine) Physician
38909
KY
207QA0505X
Adult Medicine Physician
38909
KY
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
38909
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64107030
—
KY
Enumeration date
06/29/2006
Last updated
08/13/2025
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