Withrow, Patrick J

Withrow, Patrick J is an individual health care provider with primary practice located at 2601 Kentucky Ave Suite 301, Paducah KY 42003-3817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Withrow, Patrick J can be contacted via phone (270) 575-3113.

Contact Information

Primary practice address
2601 Kentucky Ave Suite 301 Paducah KY 42003-3817
Fax: (270) 575-3135
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 21245 Kentucky

Profile Details

NPI number 1902918980
LBN Legal business name Withrow, Patrick J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 9th, 2007 - about 18 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 1902918980 NPPES
Kentucky Other 2152 KENTUCKY BLS PROVIDER
Kentucky Other 610976324003 KENTUCKY BLS PROVIDER
Kentucky MEDICAID 64212459 KENTUCKY BLS PROVIDER

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