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NEUROLOGY GROUP OF PADUCAH PLLC NPI 1790893964


NPI Information

NPI: 1790893964
Provider Name: NEUROLOGY GROUP OF PADUCAH, PLLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2603 KENTUCKY AVE
SUITE 402
PADUCAH, KY
ZIP 42003
Phone: (270) 443-2830
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NEUROLOGY GROUP OF PADUCAH, PLLC is a neurology psychiatry neurology in Paducah, KY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NEUROLOGY GROUP OF PADUCAH, PLLC NPI is 1790893964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2603 KENTUCKY AVE
SUITE 402
PADUCAH, KY
ZIP 42003-814
Phone: (270) 443-2830
Fax: (270) 443-7108

The provider's authorized official is Van M Woeltz .
The authorized official title is Owner and has the following contact phone number (270) 443-2830.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 3/24/2011.


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
12084N0400XPsychiatry & NeurologyNeurology87743KENTUCKYYes

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
11391001MEDICARE PINILLINOIS
265939647MEDICAIDKENTUCKY
37698MEDICARE PINKENTUCKY
41391OTHERILLINOISNEUROLOGY GROUP PTAN
5DA1746MEDICARE PINKENTUCKY

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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