NPI 1154342350

Renaissance Plastic Surgery PLLC

Organisation Plastic Surgery Physician Paducah, KY

Practice location

Address: 2601 Kentucky Ave STE 401, Paducah, KY 42003-3827
Phone: (270) 444-8200
Fax: (270) 444-8398
Mailing address: 2601 Kentucky Ave STE 401, Paducah, KY 42003

Authorised official

Name: Daniel M Tkach
Title: Owner
Phone: (270) 444-8200

Registered specialties (3)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Kentucky →

Surgery of the Hand (Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0105X

Other Surgery providers in Kentucky →

Plastic and Reconstructive Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X

Registry record

NPI: 1154342350
Entity type: Organization
NPI issued: 22 Jul 2006
Record last updated: 3 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.