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TOTAL LIFE CARE PLLC NPI 1225197031


NPI Information

NPI: 1225197031
Provider Name: TOTAL LIFE CARE, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 18D0983570

Address:
2850 LONE OAK RD
BAYLEY SQUARE, SUITE 4
PADUCAH, KY
ZIP 42003
Phone: (270) 554-3904
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TOTAL LIFE CARE, PLLC is a family medicine in Paducah, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TOTAL LIFE CARE, PLLC NPI is 1225197031. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2850 LONE OAK RD
BAYLEY SQUARE, SUITE 4
PADUCAH, KY
ZIP 42003-043
Phone: (270) 554-3904
Fax: (270) 534-8928

The provider's authorized official is Pamela Diane Weaver .
The authorized official title is Practice Manager and has the following contact phone number (270) 554-3904.

The CLIA number assigned to this NPI record is 18D0983570 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/7/2006 and was last updated on 8/22/2020.


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
1207Q00000XFamily MedicineKENTUCKYYes
2207R00000XInternal MedicineKENTUCKYX

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
165902389MEDICAIDKENTUCKY

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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