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FAMILY MEDICINE ASSOCIATES OF WESTERN KENTUCKY PLLC NPI 1730213406


NPI Information

NPI: 1730213406
Provider Name: FAMILY MEDICINE ASSOCIATES OF WESTERN KENTUCKY, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 18D2100502

Address:
6035 KENTUCKY DAM RD
PADUCAH, KY
ZIP 42003
Phone: (270) 898-2444
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FAMILY MEDICINE ASSOCIATES OF WESTERN KENTUCKY, 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. FAMILY MEDICINE ASSOCIATES OF WESTERN KENTUCKY, PLLC NPI is 1730213406. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6035 KENTUCKY DAM RD
PADUCAH, KY
ZIP 42003-472
Phone: (270) 898-2444
Fax: (270) 898-4753

The provider's authorized official is David E Smith .
The authorized official title is Physician Partner and has the following contact phone number (270) 898-2444.

The CLIA number assigned to this NPI record is 18D2100502 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 6/27/2008.


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 MedicineYes

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
165937138MEDICAIDKENTUCKY

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: 11/14/2023

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