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

Revitalize Healthcare, Inc

Organization Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1972007128

Revitalize Healthcare, Inc is an Addiction Medicine (Psychiatry & Neurology) Physician in Paducah, Kentucky. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

657 Lone Oak Rd Ste 2
Paducah, KY 42003-4547
Phone: (270) 556-1630
Show map & directions

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

Additional practice locations (1)

  • 803a Country Club Ln, Hopkinsville, KY 42240-1370 — (270) 556-1630

Specialties & licences

Addiction Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084A0401X

Record details

NPI number1972007128
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Babenco — Ceo · (270) 556-1630
NPI enumeratedMarch 22, 2018
Last updated in NPPESMarch 22, 2018
Mailing address657 Lone Oak Rd Ste 2, Paducah, KY 42003-4547