Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paducah Plastic and Reconstructive Surgery

Organization Plastic and Reconstructive Surgery Physician · NPI 1962070334

Paducah Plastic and Reconstructive Surgery is a Plastic and Reconstructive Surgery Physician in Paducah, Kentucky. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2605 Kentucky Ave Ste 100
Paducah, KY 42003-3800
Phone: (270) 709-1984
Fax: (270) 933-1047
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1962070334
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Verbist — Member/Manager · (270) 709-1984
NPI enumeratedJune 14, 2021
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022
Mailing address2605 Kentucky Ave Ste 100, Paducah, KY 42003-3800

Other providers in Paducah