Pediatric Group Of Paducah

LBN: Pediatric Group Of Paducah
Pediatric Group Of Paducah is an health care organization with primary practice located at 2605 Kentucky Ave Bldg 3 Suite 501, Paducah KY 42003-3800. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Pediatric Group Of Paducah can be contacted via phone (270) 443-7534, or through Evans, Dana L via phone (270) 744-9600.

Contact Information

Primary practice address
2605 Kentucky Ave Bldg 3 Suite 501 Paducah KY 42003-3800
Phone: (270) 443-7534
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evans, Dana L
Phone: (270) 744-9600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20596 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28040 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30516 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22172 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 43274 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007447 Kentucky

Profile Details

NPI number 1346279510
LBN Legal business name Pediatric Group Of Paducah
DBA Doing business as
Authorized official Evans, Dana L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Aug 5th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346279510 NPPES
Kentucky MEDICAID 65923377

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