Caldwell County Medical Clinic
Organization Active NPI Nephrology Physician · Princeton, KY
NPI 1801905906 · NPPES record last updated Mar 17, 2009
Key facts
- NPI
- 1801905906
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- CALDWELL COUNTY MEDICAL CLINIC
- Practice address
- 323 S Jefferson St
Suite D
Princeton, KY 42445-2100 - Phone
- (270) 365-4505
- Fax
- (270) 365-4539
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Dana Evans
- Title
- Provider Enrollment Rep
- Phone
- (270) 744-9600
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
323 S Jefferson St
Suite D
Princeton, KY 42445-2100
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65942872 | Medicaid | KY |
Other providers in Princeton, KY
- Caldwell County Hospital, Inc
- Caldwell County Hospital, Inc
- Caldwell County Hospital, Inc
- Caldwell County Hospital, Inc
- Caldwell County Hospital, Inc
- Caretenders VS of Western Ky, LLC
- Cash Family Practice, PLLC
- Ralph L Cash Jr.
- Com-Care, Inc
- Jonathan Seth Cook
All providers in Princeton, KY · Nephrology 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 17, 2009. 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.