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General NPI Number Information
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NPI Number | 1881622751
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Entity Type | Individual
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Provider Name | KYLE DOUGLAS PARISH MD
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Gender | Male
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2407 NEW HOLT RD
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City | PADUCAH
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State | KY
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Zip | 42001-7455
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Country | US
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Telephone | 270-443-0010
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Fax | 270-558-1492
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Provider Business Mailing Address
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Address Line | 2407 NEW HOLT RD
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City | PADUCAH
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State | KY
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Zip | 42001-7455
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Country | US
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Telephone | 270-443-0010
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Fax | 270-558-1492
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 38909
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | 38909
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 38909
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 38909
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License Number State | KY
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