WESTERN BAPTIST MEDICAL VENTURES INC
Organization (NPI-2)
Active
Internal Medicine, Hematology & Oncology
Provider Information
- NPI Number
1750729133- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 100 KIANA CT, PADUCAH, KY, 420016787
- Phone
- (270) 554-0011
- Fax
- (270) 554-6540
Specialties & Taxonomies
Nurse Practitioner, Family
License: KY #3004564
Internal Medicine, Hematology & Oncology
Primary License: KY #17391