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WEST KENTUCKY GYNECOLOGY ASSOCIATES PLLC NPI 1154486942


NPI Information

NPI: 1154486942
Provider Name: WEST KENTUCKY GYNECOLOGY ASSOCIATES PLLC

Former Legal Business Name: GYNECOLOGY ASSOCIATES

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
423 SOUTH 28TH ST
SUITE A
PADUCAH, KY
ZIP 42003
Phone: (270) 442-7181
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WEST KENTUCKY GYNECOLOGY ASSOCIATES PLLC is a gynecology obstetrics gynecology in Paducah, KY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee WEST KENTUCKY GYNECOLOGY ASSOCIATES PLLC NPI is 1154486942. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Gynecology Associates.

The provider's business location address is:

423 SOUTH 28TH ST
SUITE A
PADUCAH, KY
ZIP 42003-865
Phone: (270) 442-7181
Fax: (270) 442-0113

The provider's authorized official is Johnny W Bryant .
The authorized official title is Doctor and has the following contact phone number (270) 442-7181.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 6/20/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology35692KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C02788MEDICARE UPIN
264013931MEDICAIDKENTUCKY
30660501MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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