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1831242551
PADUCAH DERMATOLOGY PLLC
PADUCAH, KY
NPI
1831242551
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Entity Type
Organization
Authorized Contact
HALDEN HEATH FORD
Owner
270-444-8477
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: KY 32680)
Enumeration Date
2007-01-18
Last Update Date
2018-08-08
Business Address
PADUCAH DERMATOLOGY PLLC
3101 PARISA DR
PADUCAH, KY 42003
Phone number: 270-444-8477
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Mailing Address
PADUCAH DERMATOLOGY PLLC
3101 PARISA DR
PADUCAH, KY 42003-4584
Phone number: 270-444-8477
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