Western Kentucky Pain Management Center

NPI 1538446224 - Physician Assistant - 363A00000X

NPI Details
NPI 1538446224
Enumeration Date 11/08/2011
Last Updated 11/08/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BRAD BRAD
Position MEMBER
Phone (270) 683-4073
Fax (270) 683-4075
Practice Location
3515 FREDERICA ST
OWENSBORO KY, 42301-6902, US
Phone (270) 683-4073
Fax (270) 683-4075
Business Location
7986 TANNERS GATE LN
FLORENCE KY, 41042-1863, US
Phone (859) 746-2444
Fax (859) 746-9555
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
Remove 1538446224 NPI Number
 

According to our database, Western Kentucky Pain Management Center NPI is 1538446224, taxonomy code is 363A00000X Western Kentucky Pain Management Center physically located at 3515 Frederica St, Owensboro KY, 42301-6902. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1538446224 NPI number is provided on an as is basis without warranty of any kind. 1538446224 is maintained by the National Plan & Provider Enumeration System. The contents of Western Kentucky Pain Management Center are for informational purposes only.