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Revitalize Healthcare, Inc
Addiction Medicine (Psychiatry & Neurology) Physician in Paducah, Kentucky
NPI 1972007128

Revitalize Healthcare, Inc is an Addiction Medicine (Psychiatry & Neurology) Physician based in Paducah, KY and is specialized in Addiction Medicine. Revitalize Healthcare, Inc practices in Paducah, KY. The NPI Number for Revitalize Healthcare, Inc is 1972007128 and holds a License No. (Kentucky).

The current practice location address for Revitalize Healthcare, Inc is 657 Lone Oak Rd Ste 2, Paducah, KY and can be reached out via phone at 270-556-1630.

Location: 657 Lone Oak Rd Ste 2, Paducah, KY, 42003-4547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972007128
Provider Name
Revitalize Healthcare, Inc
Credential
Provider Entity Type
Organization
Address
657 Lone Oak Rd Ste 2, Paducah, KY, 42003-4547
Phone Number
270-556-1630
Fax Number
Provider Enumeration Date
03/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
657 Lone Oak Rd Ste 2
City
Paducah
State
Kentucky
Zip
42003-4547
Phone Number
270-556-1630
Fax Number
person
Provider Business Mailing Address Details
Address
657 Lone Oak Rd Ste 2
City
Paducah
State
Kentucky
Zip
42003-4547
Phone Number
270-556-1630
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
()
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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