Individual
DR. JOSEPH D WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
657 LONE OAK ROAD, SUITE 1, PADUCAH, KY 42003-4547
(270) 443-4430
(270) 443-4462
Mailing address
657 LONE OAK ROAD, SUITE 1, PADUCAH, KY 42003-4547
(270) 443-4430
(270) 443-4462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20954
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047719
BCBS
KY
05
—
64209547
—
KY
Enumeration date
05/03/2006
Last updated
02/03/2010
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