Individual
ALBERT SPEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 MEDICAL CENTER DR STE 303, PADUCAH, KY 42003-7915
(270) 444-4222
(270) 444-4223
Mailing address
225 MEDICAL CENTER DR STE 303, PADUCAH, KY 42003-7915
(270) 444-4222
(270) 444-4223
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
26776
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069025
ANTHEM BCBS
KY
01
—
0004267001
AETNA U.S. HEALTHCARE
KY
01
—
1417499880
GROUP NPI
KY
01
—
1432663
UMWA - FUNDS
KY
01
—
611203959
TRICARE
KY
05
—
64267768
—
KY
01
—
CM4495
PALMETTO GBA-R/R MEDICARE
KY
Enumeration date
06/01/2005
Last updated
09/05/2019
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