TROY M NELSON DO PHARMD MPH PSC NPI 1508938572

NPI Information

TROY M NELSON DO PHARMD MPH PSC is a primary care clinic center in Paducah, KY. TROY M NELSON DO PHARMD MPH PSC NPI is 1508938572. The provider is registered as an organization entity type.

The provider's business location address is:

125 SOUTH 20TH ST
PADUCAH, KY
ZIP 42001-100
Phone: (270) 443-0708
Fax: (270) 443-0705

The provider's authorized official is Troy Marvin Nelson .
The authorized official title is Owner and has the following contact phone number (270) 443-0708.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 11/5/2010.

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:

Other Identifiers

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

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