Individual
DR. RICK J MCCOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2605 KENTUCKY AVE STE 202, PADUCAH, KY 42003-3801
(270) 415-4690
(270) 415-4691
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
29543
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000556927
ANTHEM BCBS
KY
01
—
0392811
MEDICARE GROUP PTAN
KY
05
—
6429543900
—
KY
01
—
P00611772
RAILROAD MEDICARE
KY
Enumeration date
12/30/2005
Last updated
12/09/2020
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