Renaissance Plastic Surgery Pllc
LBN: Renaissance Plastic Surgery Pllc
Renaissance Plastic Surgery Pllc is an health care organization with primary practice located at 2601 Kentucky Ave Ste 401, Paducah KY 42003-3827. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is the primary health care specialty.
Renaissance Plastic Surgery Pllc can be contacted via phone (270) 444-8200, or through Tkach, Daniel M via phone (270) 444-8200.
Contact Information
Primary practice address
2601 Kentucky Ave Ste 401
Paducah KY 42003-3827
Phone: (270) 444-8200
Fax: (270) 444-8398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ||
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | ||
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X |
Profile Details
| NPI number | 1154342350 |
|---|---|
| LBN Legal business name | Renaissance Plastic Surgery Pllc |
| DBA Doing business as | |
| Authorized official | Tkach, Daniel M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Dec 3rd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154342350 | NPPES |
| Kentucky | MEDICAID | 65907685 |
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