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INTEGRATED MEDICINE AND CHIROPRACTIC REGENERATION CENTER

Organization (NPI-2) Active

Nurse Practitioner

Provider Information

NPI Number
1083727994
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
2725 JAMES SANDERS BLVD SUITE A, PADUCAH, KY, 420018401
Phone
(270) 554-5114
Fax
(270) 554-5021

Specialties & Taxonomies

Chiropractor License: KY #5134
Neurological Surgery License: KY #36051
Physical Therapist License: KY #002302
Occupational Therapist
Nurse Practitioner Primary

All Addresses

MAILING

2725 JAMES SANDERS BLVD SUITE A

PADUCAH, KY, 420018401

(270) 554-5114

LOCATION

2725 JAMES SANDERS BLVD SUITE A

PADUCAH, KY, 420018401

(270) 554-5114