Provider Demographics
NPI:1063418473
Name:WESTERN KENTUCKY HEART & CHEST SURGERY
Entity type:Organization
Organization Name:WESTERN KENTUCKY HEART & CHEST SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:W
Authorized Official - Middle Name:ROBIN
Authorized Official - Last Name:HOWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-443-5564
Mailing Address - Street 1:2601 KENTUCKY AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-3826
Mailing Address - Country:US
Mailing Address - Phone:270-443-5564
Mailing Address - Fax:270-443-5549
Practice Address - Street 1:2601 KENTUCKY AVE
Practice Address - Street 2:STE 300
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-3826
Practice Address - Country:US
Practice Address - Phone:270-443-5564
Practice Address - Fax:270-443-5549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty