WEST MCCRACKEN HEALTHCARE PLLC NPI 1225237423

NPI Information

NPI: 1225237423
Provider Name: WEST MCCRACKEN HEALTHCARE PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 18D1070648

Address:
5325 METROPOLIS LAKE RD
WEST PADUCAH, KY
ZIP 42086
Phone: (270) 488-3141
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WEST MCCRACKEN HEALTHCARE PLLC is a family nurse practitioner in West Paducah, KY. WEST MCCRACKEN HEALTHCARE PLLC NPI is 1225237423. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5325 METROPOLIS LAKE RD
WEST PADUCAH, KY
ZIP 42086-474
Phone: (270) 488-3141
Fax: (270) 488-2137

The provider's authorized official is Michael S Rust .
The authorized official title is Owner and has the following contact phone number (270) 488-3141.

The CLIA number assigned to this NPI record is 18D1070648 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 8/20/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	3156P	KENTUCKY	Yes

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

NPI Synchronization or Removal

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