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

Renaissance Plastic Surgery PLLC

Organization Plastic Surgery Physician · NPI 1154342350

Renaissance Plastic Surgery PLLC is a Plastic Surgery Physician in Paducah, Kentucky. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2601 Kentucky Ave Ste 401
Paducah, KY 42003-3827
Phone: (270) 444-8200
Fax: (270) 444-8398
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X
Surgery of the Hand (Surgery) Physician Taxonomy 2086S0105X
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X

Record details

NPI number1154342350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Tkach — Owner · (270) 444-8200
NPI enumeratedJuly 22, 2006
Last updated in NPPESDecember 3, 2010
Mailing address2601 Kentucky Ave, Ste 401, Paducah, KY 42003

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