Occunet

NPI 1245340389 - Clinic/Center - 261QX0100X

NPI Details
NPI 1245340389
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RON RON
Position M.D.
Phone (270) 575-3001
Fax (270) 575-0418
Practice Location
2535 BROADWAY ST
PADUCAH KY, 42001-3124, US
Phone (270) 575-3001
Fax (270) 575-0418
Business Location
2535 BROADWAY ST
PADUCAH KY, 42001-3124, US
Phone (270) 575-3001
Fax (270) 575-0418
Toxanomy
Taxonomy Code 261QX0100X
License State Kentucky
License Number 18801
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According to our database, Occunet NPI is 1245340389, taxonomy code is 261QX0100X and license number is 18801, license state is located at Kentucky. Occunet physically located at 2535 Broadway St, Paducah KY, 42001-3124. NPI Number 1033115704 has the healthcare provider type.

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1245340389 NPI number is provided on an as is basis without warranty of any kind. 1245340389 is maintained by the National Plan & Provider Enumeration System. The contents of Occunet are for informational purposes only.