Organization
PADUCAH NEUROSURGICAL ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN E LANKTON CPC (OFFICE MANAGER)
(270) 443-6472
Entity
Organization
Contact information
Practice address
2603 KENTUCKY AVE STE 404, PADUCAH, KY 42003-3830
(270) 443-6472
(270) 442-1649
Mailing address
2603 KENTUCKY AVE STE 404, PADUCAH, KY 42003-3830
(270) 443-6472
(270) 442-1649
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65906547
—
KY
Enumeration date
08/21/2006
Last updated
09/19/2007
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