Four Rivers Internal Medicine, Pllc

NPI #1912992421 in Paducah, Kentucky

Provider Information

NPI Number: 1912992421
Entity Type: Organization
Organization Name: Four Rivers Internal Medicine, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Sep 12, 2005
Last Updated: Mar 22, 2013

Practice Location

Address: 3131 PARISA DR
City: Paducah
State: Kentucky
ZIP Code: 42003-4584
Phone: (270) 444-8000

Authorized Official

Name: DONNA K FORD
Title: OFFICE MANAGER
Phone: (270) 444-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Internal Medicine	207R00000X	Primary

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