| NPI | 1518016823 |
|---|---|
| Doing Business As | PAIN MANAGEMENT CENTER OF PADUCAH |
| Entity Type | Organization |
| Authorized Contact | LAXMAIAH MANCHIKANTI CEO 270-554-8373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-10-05 |