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

Paducah Primary Care, PSC

Organization Internal Medicine Physician · NPI 1497892103

Paducah Primary Care, PSC is an Internal Medicine Physician in Paducah, Kentucky. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4620 Village Square Dr
Paducah, KY 42001-7501
Phone: (270) 442-8575
Fax: (270) 442-8783
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1497892103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Wilson — President · (270) 442-8575
NPI enumeratedJanuary 31, 2007
Last updated in NPPESOctober 21, 2019
Mailing address2601 Kentucky Ave, Suite 101, Paducah, KY 42003-3817

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