Bluegrass Emergency Medicine

NPI 1376592998 - Emergency Medicine - 207P00000X

NPI Details
NPI 1376592998
Enumeration Date 05/09/2006
Last Updated 05/09/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FRED S FRED
Position MEDICAL DIRECTOR
Phone (270) 575-2180
Fax
Practice Location
2501 KENTUCKY AVE
PADUCAH KY, 42003-3813, US
Phone (270) 575-2180
Fax
Business Location
PO BOX 9150
PADUCAH KY, 42002-9150, US
Phone (270) 744-9600
Fax (270) 744-8642
Toxanomy
Taxonomy Code 207P00000X
License State
License Number
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According to our database, Bluegrass Emergency Medicine NPI is 1376592998, taxonomy code is 207P00000X Bluegrass Emergency Medicine physically located at 2501 Kentucky Ave, Paducah KY, 42003-3813. NPI Number 1033115704 has the healthcare provider type.

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1376592998 NPI number is provided on an as is basis without warranty of any kind. 1376592998 is maintained by the National Plan & Provider Enumeration System. The contents of Bluegrass Emergency Medicine are for informational purposes only.