=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881736817
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PAUL E MCLAUGHLIN
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2007
-----------------------------------------------------
Last Update Date | 01/30/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 250 FOXGLOVE DR STE 6
-----------------------------------------------------
City | MT STERLING
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40353-9770
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-498-3098
-----------------------------------------------------
Fax | 859-498-3035
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 250 FOXGLOVE DR STE 6
-----------------------------------------------------
City | MT STERLING
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40353-9770
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-498-3098
-----------------------------------------------------
Fax | 859-498-3035
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN/OWNER
-----------------------------------------------------
Name | PAUL EUGENE MCLAUGHLIN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 859-498-3098
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------