Personal Medicine of Kentucky PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

43241 Issued in KY

Legal business name

PERSONAL MEDICINE OF KENTUCKY PLLC

Practice address

2320 Broadway St Ste 110
Paducah, KY 42001-7146

Phone

(502) 437-9632

Fax

(408) 393-4324

NPI assigned

Mar 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Natalie A Hodge, M.D

Title

Owner

Phone

(502) 437-9632

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1902105224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 BROADWAY ST STE 110",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017146",
            "telephone_number": "502-437-9632",
            "fax_number": "408-393-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BROADWAY ST STE 110",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017146",
            "telephone_number": "502-437-9632",
            "fax_number": "408-393-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL MEDICINE OF KENTUCKY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-437-9632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "43241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Perdue, MS, CCC-SLP
• Nakeisha Jo Perkins, NP-C
• Adam Quentin Perry, DMD
• Julie Perry, RPH
• Michael W. Perry, DMD
• Personal Medicine Plus Inc (PreventScripts)
• Jeanne Peters
• Ashley Peterson, PHARM D
• John Paul Hobbs Peterson, PHARMD
• Samuel Peterson

• Pediatrics Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.