Western Baptist Medical Ventures INC

NPI #1093063406 in Paducah, Kentucky

Provider Information

NPI Number
1093063406
Entity Type
Organization
Organization Name
Western Baptist Medical Ventures INC
Subpart
Yes (part of a larger organization)
Parent Organization
WESTERN BAPTIST MEDICAL VENTURES INC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Aug 16, 2012
Last Updated
Oct 12, 2012

Practice Location

Address
2601 KENTUCKY AVE
Address 2
SUITE 103
ZIP Code
42003-3817
Phone
(270) 443-4311

Authorized Official

Name
PATRICIA HARROD
Title
DIRECTOR OF PHYSICIAN INTEGRATION
Phone
(270) 575-8362

Specialties & Taxonomy Codes

Specialty
Family Medicine
Nurse Practitioner - FamilyFamily
Physician Assistant - MedicalMedical
Clinic/Center - Primary CarePrimary Care

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