Individual
JOHN RANDALL RESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2605 KENTUCKY AVE, SUITE 601, PADUCAH, KY 42003-3800
(270) 408-4368
(270) 408-3272
Mailing address
2605 KENTUCKY AVE, SUITE 306, PADUCAH, KY 42003-3800
(270) 415-7653
(270) 575-8359
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35590
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64007693
—
KY
Enumeration date
04/08/2006
Last updated
12/08/2020
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