Search › Kentucky › 207Q00000X
Ivan Escudero, MD
NPI 1427679935 · on the registry since 2020
Practice
- Address
- 912 Wallace Ave Ste 102
Leitchfield, KY 42754 - Phone
- (270) 259-8888
- Fax
- (270) 259-8887
- Organisation at this address
- Renal Life Link Inc
Gregory G. Skaggs Md
Jarboe Family Practice, Psc
Craig A. Johnson, M.D., Psc
Owensboro Health Medical Group IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Additional practice sites
- 4201 St Antoine, Detroit, MI
- 1200 Barret Blvd, Henderson, KY
- 510 Ruby Dr, Madisonville, KY
- 1895 Elizabethtown Rd, Leitchfield, KY
- 2025 W Everly Brothers Blvd Ste 1a, Powderly, KY
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky