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DR. KELLY RAFF ANUNCIATO D.O. PSC NPI 1720115009


NPI Information

NPI: 1720115009
Provider Name: DR. KELLY RAFF ANUNCIATO D.O. PSC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
2605 KENTUCKY AVE
STE 502 - BLDG 3
PADUCAH, KY
ZIP 42003
Phone: (270) 444-6274
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DR. KELLY RAFF ANUNCIATO D.O. PSC is an obstetrics gynecology in Paducah, KY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. KELLY RAFF ANUNCIATO D.O. PSC NPI is 1720115009. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2605 KENTUCKY AVE
STE 502 - BLDG 3
PADUCAH, KY
ZIP 42003
Phone: (270) 444-6274
Fax: (270) 444-6731

The provider's authorized official is Bonnie Miller .
The authorized official title is Office Manager and has the following contact phone number (270) 444-6274.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 5/4/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology02740KENTUCKYYes

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
164048481MEDICAIDKENTUCKY
2G74725MEDICARE UPINKENTUCKY
3G74725MEDICARE UPIN
40964901MEDICARE PIN

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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