| Integrated Medicine And Chiropractic Regeneration Center | |
|
2725 James Sanders Blvd, Suite A, Paducah, KY 42001-8401 | |
| (270) 554-5114 | |
| (270) 554-5021 |
| Full Name | Integrated Medicine And Chiropractic Regeneration Center |
|---|---|
| Type | Facility |
| Speciality | Nurse Practitioner |
| Location | 2725 James Sanders Blvd, Paducah, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083727994 | NPI | - | NPPES |
| Provider Name | Robert A Garneau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962498113 PECOS PAC ID: 2668370339 Enrollment ID: I20081111000361 |
| Provider Name | Derek W Snodgrass |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992971600 PECOS PAC ID: 8628141140 Enrollment ID: I20090707000036 |
| Provider Name | Matthew B Tackett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1588721757 PECOS PAC ID: 4082649215 Enrollment ID: I20091013000028 |
| Provider Name | Donald R Douglas |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1053416313 PECOS PAC ID: 5395934103 Enrollment ID: I20110110000745 |
| Provider Name | Tommy G West |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093747040 PECOS PAC ID: 0244251536 Enrollment ID: I20111123000210 |
| Provider Name | Daniel Richard Farr |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316044068 PECOS PAC ID: 2466548128 Enrollment ID: I20120222000174 |
| Provider Name | Heidi R Schweder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043609183 PECOS PAC ID: 8820315393 Enrollment ID: I20150320001147 |
| Provider Name | Rachel Rome |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679795256 PECOS PAC ID: 6608065552 Enrollment ID: I20170202000229 |
| Provider Name | Leslye Bransford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194269464 PECOS PAC ID: 7911280995 Enrollment ID: I20170217000893 |
| Provider Name | Tyler F Ward |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760026371 PECOS PAC ID: 0345673828 Enrollment ID: I20191216000403 |
| Provider Name | Kayla Hendley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326685066 PECOS PAC ID: 1052745874 Enrollment ID: I20200102000731 |
| Provider Name | Douglas Bouldin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770568727 PECOS PAC ID: 4880693936 Enrollment ID: I20200227000541 |
| Provider Name | Mercedes Robinson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285163139 PECOS PAC ID: 1658793450 Enrollment ID: I20200624002397 |
| Provider Name | Brittany Danielle Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528676178 PECOS PAC ID: 8325462195 Enrollment ID: I20200727002110 |
| Provider Name | Kayla Klope |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447685425 PECOS PAC ID: 9537585351 Enrollment ID: I20200811002558 |
| Provider Name | Laken Nicole Darnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568076230 PECOS PAC ID: 1254758253 Enrollment ID: I20200903003083 |
| Provider Name | Janssen Shea Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144813403 PECOS PAC ID: 1052726262 Enrollment ID: I20210222001854 |
| Provider Name | Shelby A Rollings-gough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629677117 PECOS PAC ID: 0446667703 Enrollment ID: I20210402000238 |
| Provider Name | Megan Elizabeth Burcham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134706583 PECOS PAC ID: 6406265743 Enrollment ID: I20210517002399 |
| Provider Name | Tonya Ellington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992968945 PECOS PAC ID: 3476950692 Enrollment ID: I20210930000651 |
| Provider Name | Amy Grogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063162790 PECOS PAC ID: 8729465026 Enrollment ID: I20220505002243 |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medicine And Chiropractic Regeneration Center 2725 James Sanders Blvd, Suite A, Paducah, KY 42001-8401 Ph: (270) 554-5114 | Integrated Medicine And Chiropractic Regeneration Center 2725 James Sanders Blvd, Suite A, Paducah, KY 42001-8401 Ph: (270) 554-5114 |