Poe, Reagan

Poe, Reagan is an individual health care provider with primary practice located at 1903 Broadway St Ste B , Paducah KY 42001-7105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Poe, Reagan can be contacted via phone (270) 444-8183.

Contact Information

Primary practice address
1903 Broadway St Ste B Paducah KY 42001-7105
Phone: (270) 444-8183
Fax: (270) 444-8147
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1003843145
LBN Legal business name Poe, Reagan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Mar 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003843145 NPPES
Kentucky MEDICAID 95005468
Kentucky Other 000000388604

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