PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY NPI 1962070334

NPI Information

PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY is a plastic and reconstructive surgery surgery in Paducah, KY. The provider is a surgeon who specializes in plastic and reconstructive surgery. PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY NPI is 1962070334. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2605 KENTUCKY AVE STE 100
PADUCAH, KY
ZIP 42003-800
Phone: (270) 709-1984
Fax: (270) 933-1047

The provider's authorized official is Daniel E Verbist .
The authorized official title is Member/manager and has the following contact phone number (270) 709-1984.

The enumeration date for this NPI number is 6/14/2021 and was last updated on 4/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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