Paducah Primary Care, P.S.C.

LBN: Paducah Primary Care, P.S.C.
Paducah Primary Care, P.S.C. is an health care organization with primary practice located at 4620 Village Square Dr , Paducah KY 42001-7501. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Paducah Primary Care, P.S.C. can be contacted via phone (270) 442-8575, or through Wilson, Ronald L via phone (270) 442-8575.

Contact Information

Primary practice address
4620 Village Square Dr Paducah KY 42001-7501
Phone: (270) 442-8575
Fax: (270) 442-8783
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Ronald L Doctor of Medicine (MD)
Phone: (270) 442-8575

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1497892103
LBN Legal business name Paducah Primary Care, P.S.C.
DBA Doing business as
Authorized official Wilson, Ronald L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Oct 21st, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497892103 NPPES
Kentucky MEDICAID 65927717

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