Western Kentucky Pain Management Center

NPI #1538446224 in Owensboro, Kentucky

Provider Information

NPI Number: 1538446224
Entity Type: Organization
Organization Name: Western Kentucky Pain Management Center
Primary Specialty: Physician Assistant
Enumeration Date: Nov 8, 2011
Last Updated: Nov 8, 2011

Practice Location

Address: 3515 FREDERICA ST
City: Owensboro
State: Kentucky
ZIP Code: 42301-6902
Phone: (270) 683-4073

Authorized Official

Name: BRAD HAMBLEN
Title: MEMBER
Phone: (859) 746-2444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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