MEDICARE: EMILY HURD SALDANA PAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	2391	TN
2	363AM0700X	Medical Physician Assistant	PA3380	KY

General Provider Information

NPI Number	:	1013342062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY HURD SALDANA PAC

Provider Business Mailing Address
First Line	:	496 SHEAS WAY
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37043-1673
Country	:	US
Telephone Number	:	423-923-8129
Fax Number	:

Provider Business Practice Location Address
First Line	:	10755 EAGLE WAY STE 202
Second Line	:
City	:	HOPKINSVILLE
State	:	KY
Zip	:	42240-8742
Country	:	US
Telephone Number	:	270-887-5640
Fax Number	:	270-886-5371

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2013
Last Update Date	:	10/03/2024

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Directions to “ EMILY HURD SALDANA PAC” Practice Location

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