King, Thu-Trang Cleo Thi

King, Thu-Trang Cleo Thi is an individual health care provider with primary practice located at 2501 Kentucky Ave , Paducah KY 42003-3813. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. King, Thu-Trang Cleo Thi can be contacted via phone (270) 575-2180.

Contact Information

Primary practice address
2501 Kentucky Ave Paducah KY 42003-3813
Phone: (270) 575-2180
Fax: (270) 575-8479
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA962 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA962 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA962 Kentucky

Profile Details

NPI number 1023029931
LBN Legal business name King, Thu-Trang Cleo Thi
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jan 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023029931 NPPES
Kentucky MEDICAID 7100032090

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