Organization Name: | SURGICAL GROUP OF PADUCAH P.S.C. |
NPI Number: | 1841236809 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CINDY FORTHMAN (BUSINESS MANAGER) |
Mailing Address: | 2601 Kentucky Ave Doctor Bldg. 1 Suite 201 Paducah |
State: | KY US |
Postal Code: | 420038468 |
Phone Number: | 2705389555 |
Fax Number: | 2705389554 |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 05/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |