NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1225002090 | GROGAN | KENNETH | B |   | PO BOX 7009 | PADUCAH | KY | 420027009 |
1831164599 | OWENS | MARK | L |   | PO BOX 7009 | PADUCAH | KY | 420027009 |
1295177152 | TRAVIS | JUSTIN | RAY |   | 1748 BROADWAY ST | PADUCAH | KY | 420012706 |
1194790352 | TUCKER | DAVID | N |   | PO BOX 7009 | PADUCAH | KY | 420027009 |