Organization
WESTERN BAPTIST MEDICAL VENTURES, INC
Active
Parent organization
WESTERN BAPTIST MEDICAL VENTURES, INC
Other names
Hospitalists of Paducah
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN BAPTIST MEDICAL VENTURES, INC
Authorized official
LARRY O BARTON (VICE PRESIDENT)
(270) 575-2100
Entity
Organization
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 744-9600
(270) 744-8642
Mailing address
PO BOX 7309, PADUCAH, KY 42002-7309
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
03511
KY
207R00000X
Internal Medicine Physician
03274
KY
207R00000X
Internal Medicine Physician
03422
KY
207R00000X
Internal Medicine Physician
36713
KY
207R00000X
Internal Medicine Physician
38924
KY
207R00000X
Internal Medicine Physician
Primary
39140
KY
207R00000X
Internal Medicine Physician
43616
KY
207R00000X
Internal Medicine Physician
43875
KY
207R00000X
Internal Medicine Physician
43943
KY
208M00000X
Hospitalist Physician
43032
KY
363LF0000X
Family Nurse Practitioner
3008001
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100157590
—
KY
Enumeration date
12/03/2008
Last updated
05/06/2013
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