Lourdes Medical Pavilion, LLC
Organization Active NPI Family Medicine Physician · Kuttawa, KY
NPI 1528058377 · NPPES record last updated Mar 16, 2010
Key facts
- NPI
- 1528058377
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 28168 (KY)
- Legal business name
- LOURDES MEDICAL PAVILION, LLC
- Practice address
- 97 Lakeshore Dr
Kuttawa, KY 42055-6202 - Phone
- (270) 388-4357
- NPI assigned
- Oct 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Mark Thompson
- Title
- Cfo
- Phone
- (270) 444-2117
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Lourdes Medical Pavilion LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 28168 | KY | Yes |
Addresses
Primary practice location
97 Lakeshore Dr
Kuttawa, KY 42055-6202
Mailing address
PO Box 8329
Paducah, KY 42002-8329
Phone (270) 441-4125
Other names
- LYON COUNTY FAMILY CARE
Other providers in Kuttawa, KY
- Gwendolyn Hinton
- Damond Houston
- Daniel K Jones
- Kuttawa Clinic, PLLC
- Landmark of Kuttawa a Rehabilitation & Nursing Center LL
- Lyon Drug Store Inc
- Lyon Drug Store, Inc.
- Thomas G McConnell
- New Life Treatment Center, LLP
- Teresa Ann Newman
All providers in Kuttawa, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.