Ratliff, Derek William

Ratliff, Derek William is an individual health care provider with primary practice located at 425 Broadway St Ste 101 , Paducah KY 42001-0713. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Ratliff, Derek William can be contacted via phone (270) 442-7121.

Contact Information

Primary practice address
425 Broadway St Ste 101 Paducah KY 42001-0713
Phone: (270) 442-7121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3015461 Kentucky

Profile Details

NPI number 1861094211
LBN Legal business name Ratliff, Derek William
Credentials APRN, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2020
Last updated Feb 15th, 2024 - about 10 months 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 1861094211 NPPES
Kentucky MEDICAID 7100710080

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