Dr. Kelly Raff Anunciato D.O. PSC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

02740 Issued in KY

Legal business name

DR. KELLY RAFF ANUNCIATO D.O. PSC

Practice address

2605 Kentucky Ave
Ste 502 - BLDG 3
Paducah, KY 42003

Phone

(270) 444-6274

Fax

(270) 444-6731

NPI assigned

Feb 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Bonnie Miller

Title

Office Manager

Phone

(270) 444-6274

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David L Grimes, MD

  • Obstetrics & Gynecology Physician
  • Little Rock, AR
  • NPI 1548229909
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1720115009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVE",
            "address_2": "STE 502 - BLDG 3",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42003",
            "telephone_number": "270-444-6274",
            "fax_number": "270-444-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVE",
            "address_2": "STE 502 - BLDG 3",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42003",
            "telephone_number": "270-444-6274",
            "fax_number": "270-444-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KELLY RAFF ANUNCIATO D.O. PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-444-6274",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "02740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64048481",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashton Brooke Downing, OTR/L
• Rebecca Downy
• Dr Daniel Boeh DMD PSC
• Dr. Butler & Associates, PLLC
• Dr. Butler & Associates, PLLC
• Dr. Kristy Kilcoyne LLC
• Dr. Pamela S. Hodges MD PSC
• Dr. Sarah Shelton LLC
• Dr. William E Hay, PSC
• Megan Renee Draffen, PT

• Obstetrics & Gynecology Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Obstetrics & Gynecology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.