Ky Dental Professionals II PSC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KY DENTAL PROFESSIONALS II PSC

Practice address

1836 Broadway St
Paducah, KY 42001-2708

Phone

(270) 442-0256

Fax

(270) 442-8730

NPI assigned

Feb 13, 2017

Last updated

Dec 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katie Workman

Title

Analyst, Revenue Cycle Management

Phone

(440) 241-1931

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1851830723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306208",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306208",
            "telephone_number": "615-620-5990",
            "fax_number": "888-702-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420012708",
            "telephone_number": "270-442-0256",
            "fax_number": "270-442-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KY DENTAL PROFESSIONALS II PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "ANALYST, REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "440-241-1931"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kyle D Parish MD PSC
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• Susan Laczko
• Melissa Laker, PTA

• Dentist in Paducah, KY
• Providers in Paducah, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.