ADONAI INTEGRATIVE MEDICINE PLLC NPI 1710634191

NPI Information

NPI: 1710634191
Provider Name: ADONAI INTEGRATIVE MEDICINE PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 18D2258680

Address:
3530 LONE OAK RD STE A
PADUCAH, KY
ZIP 42003
Phone: (270) 534-4977
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ADONAI INTEGRATIVE MEDICINE PLLC is a family nurse practitioner in Paducah, KY. ADONAI INTEGRATIVE MEDICINE PLLC NPI is 1710634191. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3530 LONE OAK RD STE A
PADUCAH, KY
ZIP 42003-703
Phone: (270) 534-4977

The provider's authorized official is Vanessa A Norwood Mcgregor .
The authorized official title is Manager and has the following contact phone number (270) 252-4514.

The CLIA number assigned to this NPI record is 18D2258680 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2022 and was last updated on 3/7/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			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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