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WESTERN KENTUCKY CARDIOLOGY CONSULTANTS PSC NPI 1891806899


NPI Information

NPI: 1891806899
Provider Name: WESTERN KENTUCKY CARDIOLOGY CONSULTANTS, PSC

Doing Business As: THE HEART GROUP

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2601 KENTUCKY AVE
DOB 1 SUITE 301
PADUCAH, KY
ZIP 42003
Phone: (270) 575-3113
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WESTERN KENTUCKY CARDIOLOGY CONSULTANTS, PSC is a clinic center in Paducah, KY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WESTERN KENTUCKY CARDIOLOGY CONSULTANTS, PSC NPI is 1891806899. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Heart Group.

The provider's business location address is:

2601 KENTUCKY AVE
DOB 1 SUITE 301
PADUCAH, KY
ZIP 42003-817
Phone: (270) 575-3113
Fax: (270) 575-3135

The provider's authorized official is James S. Gwinn .
The authorized official title is President and has the following contact phone number (270) 415-0361.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/3/2011.


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
1363LA2100XNurse PractitionerAcute CareNo
2363AM0700XPhysician AssistantMedicalNo
3261Q00000XClinic/CenterKENTUCKYYes

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
14406729MEDICAIDTENNESSEE
20442MEDICARE PINKENTUCKY
30855626OTHERKENTUCKYUMW PROV. GROUP NUMBER
42152OTHERKENTUCKYBLUE SHIELD
5=========003OTHERKENTUCKYCHAMPUS GROUP NUMBER

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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