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KENTUCKY ADDICTION CENTERS PADUCAH LLC NPI 1962098822


NPI Information

NPI: 1962098822
Provider Name: KENTUCKY ADDICTION CENTERS PADUCAH LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
148 STUART NELSON PARK RD
PADUCAH, KY
ZIP 42001
Phone: (270) 908-2681
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KENTUCKY ADDICTION CENTERS PADUCAH LLC 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. KENTUCKY ADDICTION CENTERS PADUCAH LLC NPI is 1962098822. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

148 STUART NELSON PARK RD
PADUCAH, KY
ZIP 42001-678
Phone: (270) 908-2681

The provider's authorized official is Trouper Krueger .
The authorized official title is Cso-hhr and has the following contact phone number (979) 324-5456.

The enumeration date for this NPI number is 12/15/2020 and was last updated on 12/15/2020.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2207Q00000XFamily MedicineYes
3207QA0401XFamily MedicineAddiction MedicineNo
4363LF0000XNurse PractitionerFamilyNo

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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