Dr. Kelly Raff Anunciato D.O. Psc

Obstetrics & Gynecology in Paducah, KY. Organization (NPI-2).

NPI number1720115009

StatusActive

Last updated in NPPESMay 4, 2010

Details

NPI: 1720115009
Entity type: Organization (NPI-2)
Legal business name: Dr. Kelly Raff Anunciato D.O. Psc
Organization subpart: No
Enumeration date: Feb 27, 2007
Last updated: May 4, 2010

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207V00000X	Obstetrics & Gynecology	02740	KY	Yes

Practice location

2605 Kentucky Ave
Ste 502 - Bldg 3
Paducah, KY 42003

Phone 270-444-6274 · Fax 270-444-6731

Mailing address

2605 Kentucky Ave
Ste 502 - Bldg 3
Paducah, KY 42003

Phone 270-444-6274 · Fax 270-444-6731

Authorized official

Bonnie Miller
Office Manager
2704446274

Is something wrong?

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